Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $66.41 / $66.41	Facility		$41.11	$66.41	$66.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $97.46 / $195.60	Facility		$57.04	$97.46	$195.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.70 / $129.47 / $187.84	Facility		$107.70	$129.47	$187.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $68.94 / $99.35 / $133.26	Professional		$68.94	$99.35	$133.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $27.15 / $27.15 / $27.15	Professional	80	$27.15	$27.15	$27.15
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $27.15 / $27.15 / $27.15	Professional	AS	$27.15	$27.15	$27.15
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00