Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.97 / $982.40 / $3,511.00	Facility		$562.97	$982.40	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.70 / $954.36 / $1,497.35	Facility		$741.70	$954.36	$1,497.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,045.31 / $1,392.63 / $3,711.03	Facility		$1,045.31	$1,392.63	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $690.47 / $946.89 / $1,108.05	Professional		$690.47	$946.89	$1,108.05
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $208.22 / $208.22 / $208.22	Professional	80	$208.22	$208.22	$208.22
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $208.22 / $208.22 / $208.22	Professional	AS	$208.22	$208.22	$208.22
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