Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.40 / $944.40 / $944.40	Facility		$944.40	$944.40	$944.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,165.56 / $1,596.04 / $2,541.14	Facility		$1,165.56	$1,596.04	$2,541.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,776.00 / $2,217.19 / $2,903.26	Facility		$1,776.00	$2,217.19	$2,903.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,182.03 / $1,581.34 / $1,802.91	Professional		$1,182.03	$1,581.34	$1,802.91
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $354.28 / $354.28 / $354.28	Professional	80	$354.28	$354.28	$354.28
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $354.28 / $354.28 / $354.28	Professional	AS	$354.28	$354.28	$354.28
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