Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.09 / $8,004.08 / $15,261.76	Facility		$586.09	$8,004.08	$15,261.76
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,618.32 / $5,009.64 / $8,887.32	Facility	50	$2,618.32	$5,009.64	$8,887.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $782.21 / $990.49 / $1,706.48	Facility		$782.21	$990.49	$1,706.48
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,227.48 / $4,339.89 / $21,918.03	Facility	50	$2,227.48	$4,339.89	$21,918.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,117.00 / $1,724.17 / $5,090.60	Facility		$1,117.00	$1,724.17	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $797.59 / $1,080.55 / $1,271.16	Professional		$797.59	$1,080.55	$1,271.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $238.72 / $238.72 / $238.72	Professional	80	$238.72	$238.72	$238.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $238.72 / $238.72 / $238.72	Professional	AS	$238.72	$238.72	$238.72
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