Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.13 / $713.85 / $713.85	Facility		$490.13	$713.85	$713.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $696.18 / $910.31 / $1,209.04	Facility		$696.18	$910.31	$1,209.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,134.13 / $1,520.10 / $11,407.51	Facility		$1,134.13	$1,520.10	$11,407.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $699.82 / $938.65 / $1,319.03	Professional		$699.82	$938.65	$1,319.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $270.37 / $270.37 / $270.37	Professional	80	$270.37	$270.37	$270.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $270.37 / $270.37 / $270.37	Professional	AS	$270.37	$270.37	$270.37
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