Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.48 / $557.48 / $2,838.80	Facility		$557.48	$557.48	$2,838.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $604.20 / $878.17 / $1,771.80	Facility		$604.20	$878.17	$1,771.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,032.00 / $1,611.86 / $4,114.05	Facility		$1,032.00	$1,611.86	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $1,049.69 / $1,196.77	Professional		$753.18	$1,049.69	$1,196.77
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $218.77 / $218.77 / $218.77	Professional	80	$218.77	$218.77	$218.77
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $218.77 / $218.77 / $218.77	Professional	AS	$218.77	$218.77	$218.77
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00