Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.09 / $827.09 / $11,646.00	Facility		$827.09	$827.09	$11,646.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $913.74 / $1,499.58 / $2,541.15	Facility		$913.74	$1,499.58	$2,541.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,373.70 / $2,065.39 / $2,860.50	Facility		$1,373.70	$2,065.39	$2,860.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.65 / $1,542.17 / $1,798.38	Professional		$977.65	$1,542.17	$1,798.38
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $343.21 / $343.21 / $343.21	Professional	80	$343.21	$343.21	$343.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $343.21 / $343.21 / $343.21	Professional	AS	$343.21	$343.21	$343.21
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