Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $932.83 / $5,983.72 / $16,449.30	Facility		$932.83	$5,983.72	$16,449.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,134.88 / $1,504.39 / $2,525.88	Facility		$1,134.88	$1,504.39	$2,525.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,656.00 / $2,557.09 / $5,269.25	Facility		$1,656.00	$2,557.09	$5,269.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,198.54 / $1,615.86 / $1,897.36	Professional		$1,198.54	$1,615.86	$1,897.36
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $358.65 / $358.65 / $358.65	Professional	80	$358.65	$358.65	$358.65
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $358.65 / $358.65 / $358.65	Professional	AS	$358.65	$358.65	$358.65
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00