Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $4,365.16	Facility		$758.58	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,187.76	Facility		$691.83	$1,122.02	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,905.46 / $2,041.74	Professional		$1,862.09	$1,905.46	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,659.59	Professional		$954.99	$1,380.38	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	80	$323.59	$323.59	$323.59
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $323.59 / $323.59 / $323.59	Professional	AS	$323.59	$323.59	$323.59
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