Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.31 / $4,676.82 / $12,004.89	Facility		$750.31	$4,676.82	$12,004.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $999.50 / $1,194.73 / $2,158.35	Facility		$999.50	$1,194.73	$2,158.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $2,199.88 / $8,568.00	Facility		$1,580.00	$2,199.88	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,007.22 / $1,373.65 / $1,615.96	Professional		$1,007.22	$1,373.65	$1,615.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $299.70 / $299.70 / $299.70	Professional	80	$299.70	$299.70	$299.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $299.70 / $299.70 / $299.70	Professional	AS	$299.70	$299.70	$299.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $20,822.43	Facility		$5,357.00	$5,357.00	$20,822.43