Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.07 / $4,419.93 / $7,161.40	Facility		$559.07	$4,419.93	$7,161.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.35 / $880.32 / $1,783.12	Facility		$606.35	$880.32	$1,783.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,031.61 / $1,618.58 / $4,114.05	Facility		$1,031.61	$1,618.58	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $736.93 / $1,053.08 / $1,200.65	Professional		$736.93	$1,053.08	$1,200.65
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $219.28 / $219.28 / $219.28	Professional	80	$219.28	$219.28	$219.28
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $219.28 / $219.28 / $219.28	Professional	AS	$219.28	$219.28	$219.28
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