Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.14 / $985.14 / $5,708.15	Facility		$985.14	$985.14	$5,708.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,289.00 / $1,664.89 / $2,499.14	Facility		$1,289.00	$1,664.89	$2,499.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,464.64 / $2,419.50 / $10,627.33	Facility		$1,464.64	$2,419.50	$10,627.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,182.48 / $1,625.76 / $1,933.58	Professional		$1,182.48	$1,625.76	$1,933.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $360.58 / $360.58 / $360.58	Professional	80	$360.58	$360.58	$360.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $360.58 / $360.58 / $360.58	Professional	AS	$360.58	$360.58	$360.58
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $14,287.46	Facility		$5,357.00	$5,357.00	$14,287.46