Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.84 / $6,525.00 / $9,675.00	Facility		$640.84	$6,525.00	$9,675.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $856.56 / $1,083.02 / $1,865.42	Facility		$856.56	$1,083.02	$1,865.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,883.04 / $5,090.60	Facility		$1,218.00	$1,883.04	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $835.02 / $1,182.29 / $1,390.84	Professional		$835.02	$1,182.29	$1,390.84
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $260.20 / $260.20 / $260.20	Professional	80	$260.20	$260.20	$260.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $260.20 / $260.20 / $260.20	Professional	AS	$260.20	$260.20	$260.20
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