Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.92 / $842.22 / $12,646.30	Facility		$619.92	$842.22	$12,646.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $884.41 / $1,190.85 / $1,930.74	Facility		$884.41	$1,190.85	$1,930.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,298.51 / $1,801.31 / $11,858.81	Facility		$1,298.51	$1,801.31	$11,858.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $837.35 / $1,212.29 / $1,601.08	Professional		$837.35	$1,212.29	$1,601.08
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $312.97 / $312.97 / $312.97	Professional	80	$312.97	$312.97	$312.97
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $312.97 / $312.97 / $312.97	Professional	AS	$312.97	$312.97	$312.97
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