Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.09 / $4,147.85 / $7,801.08	Facility		$704.09	$4,147.85	$7,801.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.24 / $1,108.57 / $2,198.84	Facility		$766.24	$1,108.57	$2,198.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,295.00 / $2,057.16 / $4,114.05	Facility		$1,295.00	$2,057.16	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $968.47 / $1,329.99 / $1,516.33	Professional		$968.47	$1,329.99	$1,516.33
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $280.02 / $280.02 / $280.02	Professional	80	$280.02	$280.02	$280.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $280.02 / $280.02 / $280.02	Professional	AS	$280.02	$280.02	$280.02
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