Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.65 / $704.65 / $4,631.01	Facility		$704.65	$704.65	$4,631.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $907.45 / $1,190.85 / $2,006.07	Facility		$907.45	$1,190.85	$2,006.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,165.35 / $1,839.58 / $2,276.50	Facility		$1,165.35	$1,839.58	$2,276.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $935.44 / $1,250.91 / $1,447.12	Professional		$935.44	$1,250.91	$1,447.12
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $278.35 / $278.35 / $278.35	Professional	80	$278.35	$278.35	$278.35
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $278.35 / $278.35 / $278.35	Professional	AS	$278.35	$278.35	$278.35
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