Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.13 / $6,849.00 / $11,766.06	Facility		$516.13	$6,849.00	$11,766.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.15 / $924.24 / $1,536.52	Facility		$556.15	$924.24	$1,536.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $828.97 / $1,368.66 / $6,721.75	Facility		$828.97	$1,368.66	$6,721.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $688.63 / $931.22 / $1,115.26	Professional		$688.63	$931.22	$1,115.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $207.83 / $207.83 / $207.83	Professional	80	$207.83	$207.83	$207.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $207.83 / $207.83 / $207.83	Professional	AS	$207.83	$207.83	$207.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00