Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.62 / $917.62 / $917.62	Facility		$917.62	$917.62	$917.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.35 / $1,550.78 / $2,678.75	Facility		$977.35	$1,550.78	$2,678.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,533.96 / $2,302.77 / $3,121.19	Facility		$1,533.96	$2,302.77	$3,121.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,242.91 / $1,710.43 / $1,959.46	Professional		$1,242.91	$1,710.43	$1,959.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $378.73 / $378.73 / $378.73	Professional	80	$378.73	$378.73	$378.73
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $378.73 / $378.73 / $378.73	Professional	AS	$378.73	$378.73	$378.73
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