Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $975.04 / $3,921.30	Facility		$66.83	$975.04	$3,921.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.31 / $1,111.01 / $1,786.18	Facility		$857.31	$1,111.01	$1,786.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,047.90 / $1,745.84 / $11,237.37	Facility		$1,047.90	$1,745.84	$11,237.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $756.86 / $1,162.09 / $1,390.84	Professional		$756.86	$1,162.09	$1,390.84
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $257.38 / $257.38 / $257.38	Professional	80	$257.38	$257.38	$257.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.38 / $257.38 / $257.38	Professional	AS	$257.38	$257.38	$257.38
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00