Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.17 / $729.17 / $8,279.54	Facility		$729.17	$729.17	$8,279.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $973.36 / $1,150.33 / $2,051.80	Facility		$973.36	$1,150.33	$2,051.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,507.00 / $2,120.00 / $8,568.00	Facility		$1,507.00	$2,120.00	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $969.60 / $1,333.68 / $1,576.50	Professional		$969.60	$1,333.68	$1,576.50
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $288.52 / $288.52 / $288.52	Professional	80	$288.52	$288.52	$288.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $288.52 / $288.52 / $288.52	Professional	AS	$288.52	$288.52	$288.52
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