Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.19 / $4,937.00 / $5,164.20	Facility		$758.19	$4,937.00	$5,164.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,010.21 / $1,281.33 / $2,176.94	Facility		$1,010.21	$1,281.33	$2,176.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,411.00 / $2,220.54 / $4,114.05	Facility		$1,411.00	$2,220.54	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,010.34 / $1,389.05 / $1,634.07	Professional		$1,010.34	$1,389.05	$1,634.07
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $302.16 / $302.16 / $302.16	Professional	80	$302.16	$302.16	$302.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $302.16 / $302.16 / $302.16	Professional	AS	$302.16	$302.16	$302.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00