Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $4,365.16	Facility		$812.83	$812.83	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,137.96	Facility		$1,000.00	$1,258.93	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,819.70	Professional		$1,584.89	$1,584.89	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,548.82	Professional		$812.83	$1,348.96	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	80	$309.03	$309.03	$309.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	AS	$309.03	$309.03	$309.03
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