Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $4,365.16	Facility		$724.44	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,995.26	Facility		$933.25	$1,230.27	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,778.28	Professional		$1,548.82	$1,659.59	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,479.11	Professional		$1,023.29	$1,288.25	$1,479.11
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 $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46