Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,128.61 / $7,079.46	Facility		$758.58	$5,128.61	$7,079.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $2,187.76	Facility		$1,023.29	$1,288.25	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,905.46	Professional		$1,698.24	$1,819.70	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $1,621.81	Professional		$977.24	$1,380.38	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	80	$309.03	$309.03	$309.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	AS	$309.03	$309.03	$309.03
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