Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $4,365.16	Facility		$933.25	$933.25	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,570.40	Facility		$1,258.93	$1,479.11	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,137.96	Professional		$2,041.74	$2,041.74	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,819.70	Professional		$1,202.26	$1,584.89	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	80	$363.08	$363.08	$363.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	AS	$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32