Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $787.50 / $4,338.00	Facility		$787.50	$787.50	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,011.89 / $1,304.44 / $2,127.92	Facility		$1,011.89	$1,304.44	$2,127.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,486.66 / $2,216.03 / $42,546.00	Facility		$1,486.66	$2,216.03	$42,546.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,033.81 / $1,419.29 / $1,669.65	Professional		$1,033.81	$1,419.29	$1,669.65
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $310.14 / $310.14 / $310.14	Professional	80	$310.14	$310.14	$310.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $310.14 / $310.14 / $310.14	Professional	AS	$310.14	$310.14	$310.14
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00