Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $885.93 / $7,774.44 / $18,317.75	Facility		$885.93	$7,774.44	$18,317.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,076.76 / $1,428.56 / $2,411.96	Facility		$1,076.76	$1,428.56	$2,411.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,615.00 / $2,415.28 / $5,090.60	Facility		$1,615.00	$2,415.28	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,140.40 / $1,539.27 / $1,791.91	Professional		$1,140.40	$1,539.27	$1,791.91
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $340.64 / $340.64 / $340.64	Professional	80	$340.64	$340.64	$340.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $340.64 / $340.64 / $340.64	Professional	AS	$340.64	$340.64	$340.64
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