Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.60 / $588.60 / $10,930.29	Facility		$588.60	$588.60	$10,930.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $647.49 / $1,067.32 / $1,801.83	Facility		$647.49	$1,067.32	$1,801.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $970.61 / $1,458.69 / $2,030.39	Facility		$970.61	$1,458.69	$2,030.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $687.65 / $1,094.83 / $1,275.04	Professional		$687.65	$1,094.83	$1,275.04
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $242.71 / $242.71 / $242.71	Professional	80	$242.71	$242.71	$242.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $242.71 / $242.71 / $242.71	Professional	AS	$242.71	$242.71	$242.71
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