Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.63 / $574.63 / $574.63	Facility		$574.63	$574.63	$574.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $620.60 / $971.12 / $1,744.68	Facility		$620.60	$971.12	$1,744.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $938.84 / $1,527.16 / $3,960.15	Facility		$938.84	$1,527.16	$3,960.15
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $718.73 / $1,057.11 / $1,244.64	Professional		$718.73	$1,057.11	$1,244.64
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 / $7,058.12	Facility		$3,143.00	$3,143.00	$7,058.12