Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.13 / $714.13 / $3,073.00	Facility		$714.13	$714.13	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.76 / $1,206.88 / $2,012.06	Facility		$920.76	$1,206.88	$2,012.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,475.00 / $1,971.90 / $20,480.63	Facility		$1,475.00	$1,971.90	$20,480.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $941.92 / $1,253.23 / $1,464.58	Professional		$941.92	$1,253.23	$1,464.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $280.27 / $280.27 / $280.27	Professional	80	$280.27	$280.27	$280.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $280.27 / $280.27 / $280.27	Professional	AS	$280.27	$280.27	$280.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $25,984.84	Facility		$6,571.00	$6,571.00	$25,984.84