Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.62 / $4,338.00 / $7,763.36	Facility		$863.62	$4,338.00	$7,763.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $956.90 / $1,565.18 / $2,653.16	Facility		$956.90	$1,565.18	$2,653.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,429.26 / $2,305.69 / $4,408.14	Facility		$1,429.26	$2,305.69	$4,408.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,016.72 / $1,610.06 / $1,882.48	Professional		$1,016.72	$1,610.06	$1,882.48
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $358.01 / $358.01 / $358.01	Professional	80	$358.01	$358.01	$358.01
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $358.01 / $358.01 / $358.01	Professional	AS	$358.01	$358.01	$358.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00