Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.74 / $648.74 / $648.74	Facility		$648.74	$648.74	$648.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $716.31 / $1,101.29 / $1,979.72	Facility		$716.31	$1,101.29	$1,979.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,066.45 / $1,727.65 / $7,452.20	Facility		$1,066.45	$1,727.65	$7,452.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $863.40 / $1,199.27 / $1,410.24	Professional		$863.40	$1,199.27	$1,410.24
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $267.27 / $267.27 / $267.27	Professional	80	$267.27	$267.27	$267.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $267.27 / $267.27 / $267.27	Professional	AS	$267.27	$267.27	$267.27
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