Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $5,128.61 / $5,888.44	Facility		$512.86	$5,128.61	$5,888.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,000.00 / $4,677.35	Facility		$616.60	$1,000.00	$4,677.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,122.02 / $1,174.90	Professional		$1,071.52	$1,122.02	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,000.00	Professional		$660.69	$891.25	$1,000.00
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	80	$194.98	$194.98	$194.98
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	AS	$194.98	$194.98	$194.98
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