Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $7,585.78 / $11,748.98	Facility		$512.86	$7,585.78	$11,748.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $1,548.82	Facility		$467.74	$794.33	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,380.38	Professional		$1,258.93	$1,258.93	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $933.25 / $1,122.02	Professional		$630.96	$933.25	$1,122.02
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	80	$213.80	$213.80	$213.80
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	AS	$213.80	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32