Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,677.35 / $4,677.35	Facility		$707.95	$4,677.35	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $1,995.26	Facility		$912.01	$1,148.15	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $1,737.80	Professional		$1,548.82	$1,621.81	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,445.44	Professional		$933.25	$1,258.93	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	80	$288.40	$288.40	$288.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	AS	$288.40	$288.40	$288.40
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