Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,365.16 / $10,964.78	Facility		$588.84	$4,365.16	$10,964.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,819.70	Facility		$537.03	$912.01	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Professional		$1,445.44	$1,445.44	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,288.25	Professional		$741.31	$1,071.52	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	80	$251.19	$251.19	$251.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	AS	$251.19	$251.19	$251.19
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