Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.86 / $669.86 / $669.86	Facility		$669.86	$669.86	$669.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $823.71 / $1,132.06 / $1,778.14	Facility		$823.71	$1,132.06	$1,778.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,191.00 / $1,659.66 / $4,514.33	Facility		$1,191.00	$1,659.66	$4,514.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.40 / $1,113.81 / $1,269.85	Professional		$836.40	$1,113.81	$1,269.85
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $248.88 / $248.88 / $248.88	Professional	80	$248.88	$248.88	$248.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $248.88 / $248.88 / $248.88	Professional	AS	$248.88	$248.88	$248.88
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