Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,570.40 / $4,897.79	Facility		$630.96	$2,570.40	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $4,073.80	Facility		$851.14	$1,071.52	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,584.89	Professional		$1,445.44	$1,548.82	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,348.96	Professional		$812.83	$1,148.15	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	80	$257.04	$257.04	$257.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	AS	$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84