Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.25 / $574.25 / $574.25	Facility		$574.25	$574.25	$574.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $702.39 / $970.48 / $1,503.02	Facility		$702.39	$970.48	$1,503.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,064.00 / $1,329.25 / $1,739.44	Facility		$1,064.00	$1,329.25	$1,739.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $706.22 / $941.88 / $1,073.84	Professional		$706.22	$941.88	$1,073.84
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $210.15 / $210.15 / $210.15	Professional	80	$210.15	$210.15	$210.15
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $210.15 / $210.15 / $210.15	Professional	AS	$210.15	$210.15	$210.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00