Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.50 / $811.50 / $811.50	Facility		$811.50	$811.50	$811.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.20 / $1,296.47 / $2,156.76	Facility		$973.20	$1,296.47	$2,156.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,186.00 / $1,825.80 / $4,514.33	Facility		$1,186.00	$1,825.80	$4,514.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $926.43 / $1,347.01 / $1,535.74	Professional		$926.43	$1,347.01	$1,535.74
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $302.93 / $302.93 / $302.93	Professional	80	$302.93	$302.93	$302.93
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $302.93 / $302.93 / $302.93	Professional	AS	$302.93	$302.93	$302.93
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