Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.87 / $854.87 / $854.87	Facility		$854.87	$854.87	$854.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,082.38 / $1,434.10 / $2,421.23	Facility		$1,082.38	$1,434.10	$2,421.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,374.62 / $1,982.00 / $2,786.46	Facility		$1,374.62	$1,982.00	$2,786.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,111.69 / $1,526.31 / $1,740.16	Professional		$1,111.69	$1,526.31	$1,740.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $338.45 / $338.45 / $338.45	Professional	80	$338.45	$338.45	$338.45
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $338.45 / $338.45 / $338.45	Professional	AS	$338.45	$338.45	$338.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00