Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,168.69 / $7,762.47	Facility		$707.95	$4,168.69	$7,762.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,023.29 / $2,187.76	Facility		$933.25	$1,023.29	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,778.28	Professional		$1,584.89	$1,698.24	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,513.56	Professional		$977.24	$1,318.26	$1,513.56
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 $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28