Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $4,365.16	Facility		$676.08	$676.08	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,778.28	Facility		$891.25	$1,122.02	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,479.11	Professional		$1,412.54	$1,412.54	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,258.93	Professional		$812.83	$1,148.15	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	80	$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	AS	$257.04	$257.04	$257.04
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