Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,548.13 / $12,022.64	Facility		$831.76	$3,548.13	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,089.30	Facility		$1,023.29	$1,380.38	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,862.09 / $1,862.09	Professional		$1,659.59	$1,862.09	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,621.81	Professional		$912.01	$1,348.96	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	80	$309.03	$309.03	$309.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	AS	$309.03	$309.03	$309.03
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