Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $4,365.16	Facility		$40.74	$66.07	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $194.98	Facility		$51.29	$89.13	$194.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $165.96	Professional		$97.72	$102.33	$165.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $131.83	Professional		$72.44	$100.00	$131.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	80	$28.18	$28.18	$28.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $28.18 / $28.18 / $28.18	Professional	AS	$28.18	$28.18	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83