Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.11 / $938.11 / $938.11	Facility		$938.11	$938.11	$938.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,232.06 / $1,583.41 / $2,469.33	Facility		$1,232.06	$1,583.41	$2,469.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,424.22 / $2,315.92 / $22,790.30	Facility		$1,424.22	$2,315.92	$22,790.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,160.27 / $1,577.66 / $1,855.96	Professional		$1,160.27	$1,577.66	$1,855.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $348.87 / $348.87 / $348.87	Professional	80	$348.87	$348.87	$348.87
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $348.87 / $348.87 / $348.87	Professional	AS	$348.87	$348.87	$348.87
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