Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $675.36 / $4,631.01 / $8,325.28	Facility		$675.36	$4,631.01	$8,325.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $901.39 / $1,409.39 / $4,500.00	Facility		$901.39	$1,409.39	$4,500.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $1,939.68 / $5,578.80	Facility		$1,362.00	$1,939.68	$5,578.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $892.19 / $1,233.98 / $1,451.64	Professional		$892.19	$1,233.98	$1,451.64
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $265.48 / $265.48 / $265.48	Professional	80	$265.48	$265.48	$265.48
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $265.48 / $265.48 / $265.48	Professional	AS	$265.48	$265.48	$265.48
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00