Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.99 / $4,937.00 / $11,279.10	Facility		$964.99	$4,937.00	$11,279.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.74 / $1,630.83 / $2,970.60	Facility		$1,047.74	$1,630.83	$2,970.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,611.25 / $2,420.26 / $3,352.71	Facility		$1,611.25	$2,420.26	$3,352.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,335.11 / $1,816.61 / $2,101.78	Professional		$1,335.11	$1,816.61	$2,101.78
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $403.18 / $403.18 / $403.18	Professional	80	$403.18	$403.18	$403.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $403.18 / $403.18 / $403.18	Professional	AS	$403.18	$403.18	$403.18
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