Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $4,365.16 / $33,113.11	Facility		$537.03	$4,365.16	$33,113.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $1,621.81	Facility		$489.78	$851.14	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,412.54	Professional		$1,288.25	$1,318.26	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,148.15	Professional		$724.44	$954.99	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	80	$223.87	$223.87	$223.87
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	AS	$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28