Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $1,194.45 / $4,338.00	Facility		$347.13	$1,194.45	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,598.71 / $2,040.68 / $3,274.21	Facility		$1,598.71	$2,040.68	$3,274.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,259.73 / $3,411.56 / $8,250.46	Facility		$2,259.73	$3,411.56	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,591.55 / $2,169.94 / $2,548.79	Professional		$1,591.55	$2,169.94	$2,548.79
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $481.16 / $481.16 / $481.16	Professional	80	$481.16	$481.16	$481.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $481.16 / $481.16 / $481.16	Professional	AS	$481.16	$481.16	$481.16
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