Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.25 / $4,338.00 / $6,696.86	Facility		$543.25	$4,338.00	$6,696.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $709.68 / $934.98 / $1,485.33	Facility		$709.68	$934.98	$1,485.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,002.07 / $1,339.46 / $3,711.03	Facility		$1,002.07	$1,339.46	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $671.21 / $944.57 / $1,077.74	Professional		$671.21	$944.57	$1,077.74
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $210.40 / $210.40 / $210.40	Professional	80	$210.40	$210.40	$210.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $210.40 / $210.40 / $210.40	Professional	AS	$210.40	$210.40	$210.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00