Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $4,365.16	Facility		$691.83	$691.83	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,862.09	Facility		$831.76	$1,096.48	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,584.89	Professional		$1,479.11	$1,548.82	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,380.38	Professional		$812.83	$1,202.26	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	80	$269.15	$269.15	$269.15
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	AS	$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32