Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $6,075.00 / $18,005.16	Facility		$876.64	$6,075.00	$18,005.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,169.70 / $1,481.52 / $2,560.04	Facility		$1,169.70	$1,481.52	$2,560.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,619.00 / $2,571.46 / $8,568.00	Facility		$1,619.00	$2,571.46	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,170.04 / $1,608.46 / $1,892.18	Professional		$1,170.04	$1,608.46	$1,892.18
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $356.21 / $356.21 / $356.21	Professional	80	$356.21	$356.21	$356.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $356.21 / $356.21 / $356.21	Professional	AS	$356.21	$356.21	$356.21
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00