Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.73 / $793.73 / $793.73	Facility		$793.73	$793.73	$793.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $769.41 / $1,243.79 / $2,000.00	Facility		$769.41	$1,243.79	$2,000.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,433.64 / $1,860.88 / $2,429.79	Facility		$1,433.64	$1,860.88	$2,429.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,005.06 / $1,324.31 / $1,509.86	Professional		$1,005.06	$1,324.31	$1,509.86
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $299.07 / $299.07 / $299.07	Professional	80	$299.07	$299.07	$299.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $299.07 / $299.07 / $299.07	Professional	AS	$299.07	$299.07	$299.07
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