Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.69 / $14,820.08 / $16,127.87	Facility		$862.69	$14,820.08	$16,127.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,150.64 / $1,474.61 / $2,501.48	Facility		$1,150.64	$1,474.61	$2,501.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,628.57 / $2,563.42 / $8,250.46	Facility		$1,628.57	$2,563.42	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,204.30 / $1,610.69 / $1,815.20	Professional		$1,204.30	$1,610.69	$1,815.20
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $362.90 / $362.90 / $362.90	Professional	80	$362.90	$362.90	$362.90
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $362.90 / $362.90 / $362.90	Professional	AS	$362.90	$362.90	$362.90
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