Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $4,365.16 / $12,302.69	Facility		$977.24	$4,365.16	$12,302.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,511.89	Facility		$1,288.25	$1,659.59	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,187.76	Professional		$1,995.26	$2,187.76	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $1,949.84	Professional		$1,096.48	$1,621.81	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	80	$371.54	$371.54	$371.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	AS	$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32