Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.16 / $5,785.98 / $5,785.98	Facility		$730.16	$5,785.98	$5,785.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $960.43 / $1,236.32 / $1,931.34	Facility		$960.43	$1,236.32	$1,931.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,821.25 / $23,160.14	Facility		$1,285.00	$1,821.25	$23,160.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $904.02 / $1,222.48 / $1,428.36	Professional		$904.02	$1,222.48	$1,428.36
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $272.17 / $272.17 / $272.17	Professional	80	$272.17	$272.17	$272.17
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $272.17 / $272.17 / $272.17	Professional	AS	$272.17	$272.17	$272.17
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