Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.09 / $970.09 / $4,338.00	Facility		$970.09	$970.09	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,198.36 / $1,639.45 / $2,620.53	Facility		$1,198.36	$1,639.45	$2,620.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,836.00 / $2,279.64 / $2,978.32	Facility		$1,836.00	$2,279.64	$2,978.32
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,226.92 / $1,622.20 / $1,849.49	Professional		$1,226.92	$1,622.20	$1,849.49
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $365.09 / $365.09 / $365.09	Professional	80	$365.09	$365.09	$365.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $365.09 / $365.09 / $365.09	Professional	AS	$365.09	$365.09	$365.09
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