Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.46 / $905.46 / $4,338.00	Facility		$905.46	$905.46	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,063.96 / $1,530.23 / $2,587.06	Facility		$1,063.96	$1,530.23	$2,587.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,635.00 / $2,391.94 / $8,568.00	Facility		$1,635.00	$2,391.94	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,154.69 / $1,531.41 / $1,745.98	Professional		$1,154.69	$1,531.41	$1,745.98
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $343.60 / $343.60 / $343.60	Professional	80	$343.60	$343.60	$343.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $343.60 / $343.60 / $343.60	Professional	AS	$343.60	$343.60	$343.60
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