Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.86 / $841.86 / $4,338.00	Facility		$841.86	$841.86	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.07 / $1,422.74 / $2,438.55	Facility		$912.07	$1,422.74	$2,438.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,393.98 / $2,097.51 / $2,911.60	Facility		$1,393.98	$2,097.51	$2,911.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,072.25 / $1,569.44 / $1,829.43	Professional		$1,072.25	$1,569.44	$1,829.43
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $349.00 / $349.00 / $349.00	Professional	80	$349.00	$349.00	$349.00
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $349.00 / $349.00 / $349.00	Professional	AS	$349.00	$349.00	$349.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00