Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $995.47 / $6,849.00 / $11,740.99	Facility		$995.47	$6,849.00	$11,740.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,044.05 / $1,796.02 / $2,992.02	Facility		$1,044.05	$1,796.02	$2,992.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,616.68 / $2,618.96 / $6,855.77	Facility		$1,616.68	$2,618.96	$6,855.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,287.13 / $1,775.41 / $2,069.42	Professional		$1,287.13	$1,775.41	$2,069.42
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $390.05 / $390.05 / $390.05	Professional	80	$390.05	$390.05	$390.05
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $390.05 / $390.05 / $390.05	Professional	AS	$390.05	$390.05	$390.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00