Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $1,907.45 / $6,990.48	Facility		$66.83	$1,907.45	$6,990.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $873.27 / $1,146.21 / $1,748.49	Facility		$873.27	$1,146.21	$1,748.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,250.67 / $1,669.68 / $3,711.03	Facility		$1,250.67	$1,669.68	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $801.03 / $1,129.66 / $1,343.61	Professional		$801.03	$1,129.66	$1,343.61
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $246.69 / $246.69 / $246.69	Professional	80	$246.69	$246.69	$246.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $246.69 / $246.69 / $246.69	Professional	AS	$246.69	$246.69	$246.69
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