Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.08 / $758.08 / $3,073.00	Facility		$758.08	$758.08	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.29 / $1,281.16 / $2,192.33	Facility		$800.29	$1,281.16	$2,192.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,254.82 / $1,889.12 / $2,618.54	Facility		$1,254.82	$1,889.12	$2,618.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $951.11 / $1,411.05 / $1,644.42	Professional		$951.11	$1,411.05	$1,644.42
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $314.51 / $314.51 / $314.51	Professional	80	$314.51	$314.51	$314.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $314.51 / $314.51 / $314.51	Professional	AS	$314.51	$314.51	$314.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00