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 / $11,748.98	Facility		$831.76	$4,365.16	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,258.93 / $2,570.40	Facility		$741.31	$1,258.93	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,187.76	Professional		$2,041.74	$2,089.30	$2,187.76
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,778.28	Professional		$1,047.13	$1,479.11	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	80	$354.81	$354.81	$354.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	AS	$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32