Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.71 / $649.71 / $649.71	Facility		$649.71	$649.71	$649.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $727.24 / $1,014.56 / $1,717.91	Facility		$727.24	$1,014.56	$1,717.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,090.00 / $1,460.43 / $1,992.84	Facility		$1,090.00	$1,460.43	$1,992.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $815.64 / $1,083.73 / $1,235.58	Professional		$815.64	$1,083.73	$1,235.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $243.61 / $243.61 / $243.61	Professional	80	$243.61	$243.61	$243.61
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $243.61 / $243.61 / $243.61	Professional	AS	$243.61	$243.61	$243.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00