Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.31 / $4,937.00 / $7,801.10	Facility		$836.31	$4,937.00	$7,801.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,115.14 / $1,413.36 / $2,430.30	Facility		$1,115.14	$1,413.36	$2,430.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $2,453.89 / $4,114.05	Facility		$1,580.00	$2,453.89	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,127.48 / $1,535.32 / $1,806.14	Professional		$1,127.48	$1,535.32	$1,806.14
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $335.88 / $335.88 / $335.88	Professional	80	$335.88	$335.88	$335.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $335.88 / $335.88 / $335.88	Professional	AS	$335.88	$335.88	$335.88
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