Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $976.22 / $16,127.20 / $18,681.64	Facility		$976.22	$16,127.20	$18,681.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,093.51 / $1,649.81 / $3,521.29	Facility		$1,093.51	$1,649.81	$3,521.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,653.50 / $2,493.90 / $3,444.47	Facility		$1,653.50	$2,493.90	$3,444.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,374.23 / $1,824.02 / $2,145.77	Professional		$1,374.23	$1,824.02	$2,145.77
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $416.43 / $416.43 / $416.43	Professional	80	$416.43	$416.43	$416.43
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $416.43 / $416.43 / $416.43	Professional	AS	$416.43	$416.43	$416.43
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