Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.97 / $777.97 / $777.97	Facility		$777.97	$777.97	$777.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,022.29 / $1,314.77 / $2,049.12	Facility		$1,022.29	$1,314.77	$2,049.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,925.36 / $22,201.20	Facility		$1,285.00	$1,925.36	$22,201.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $957.61 / $1,304.91 / $1,535.09	Professional		$957.61	$1,304.91	$1,535.09
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $289.02 / $289.02 / $289.02	Professional	80	$289.02	$289.02	$289.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $289.02 / $289.02 / $289.02	Professional	AS	$289.02	$289.02	$289.02
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