Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.48 / $864.48 / $4,338.00	Facility		$864.48	$864.48	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,113.27 / $1,460.97 / $2,459.23	Facility		$1,113.27	$1,460.97	$2,459.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,430.15 / $2,260.92 / $2,792.70	Facility		$1,430.15	$2,260.92	$2,792.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,149.94 / $1,529.99 / $1,777.03	Professional		$1,149.94	$1,529.99	$1,777.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $342.18 / $342.18 / $342.18	Professional	80	$342.18	$342.18	$342.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $342.18 / $342.18 / $342.18	Professional	AS	$342.18	$342.18	$342.18
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00