Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.17 / $727.17 / $3,511.00	Facility		$727.17	$727.17	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $964.81 / $1,228.92 / $2,250.23	Facility		$964.81	$1,228.92	$2,250.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,394.00 / $2,116.40 / $34,348.03	Facility		$1,394.00	$2,116.40	$34,348.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,011.97 / $1,345.48 / $1,571.97	Professional		$1,011.97	$1,345.48	$1,571.97
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $301.13 / $301.13 / $301.13	Professional	80	$301.13	$301.13	$301.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $301.13 / $301.13 / $301.13	Professional	AS	$301.13	$301.13	$301.13
United Facility/Professional Facility Modifier Low / Median / High Price $7,150.00 / $7,150.00 / $7,150.00	Facility		$7,150.00	$7,150.00	$7,150.00