Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $4,365.16	Facility		$954.99	$954.99	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,348.96 / $2,951.21	Facility		$870.96	$1,348.96	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $2,570.40	Professional		$2,344.23	$2,398.83	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,089.30	Professional		$1,202.26	$1,737.80	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	80	$407.38	$407.38	$407.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $407.38 / $407.38 / $407.38	Professional	AS	$407.38	$407.38	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84