Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.13 / $6,997.22 / $6,997.22	Facility		$574.13	$6,997.22	$6,997.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.90 / $999.45 / $1,746.93	Facility		$620.90	$999.45	$1,746.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $940.67 / $1,528.92 / $3,960.15	Facility		$940.67	$1,528.92	$3,960.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $782.60 / $1,058.28 / $1,245.28	Professional		$782.60	$1,058.28	$1,245.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $235.63 / $235.63 / $235.63	Professional	80	$235.63	$235.63	$235.63
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $235.63 / $235.63 / $235.63	Professional	AS	$235.63	$235.63	$235.63
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