Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $5,623.41	Facility		$831.76	$4,365.16	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,258.93 / $2,454.71	Facility		$758.58	$1,258.93	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,238.72	Professional		$2,041.74	$2,089.30	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,819.70	Professional		$1,047.13	$1,513.56	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	80	$363.08	$363.08	$363.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	AS	$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26