Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.82 / $4,338.00 / $33,380.15	Facility		$534.82	$4,338.00	$33,380.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $587.36 / $964.04 / $1,617.46	Facility		$587.36	$964.04	$1,617.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.30 / $1,420.84 / $3,960.15	Facility		$871.30	$1,420.84	$3,960.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.68 / $979.96 / $1,157.30	Professional		$724.68	$979.96	$1,157.30
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $218.38 / $218.38 / $218.38	Professional	80	$218.38	$218.38	$218.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $218.38 / $218.38 / $218.38	Professional	AS	$218.38	$218.38	$218.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00