Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.05 / $156.05 / $2,290.00	Facility		$156.05	$156.05	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $273.72 / $438.66	Facility		$207.31	$273.72	$438.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $249.58 / $372.63 / $513.05	Facility		$249.58	$372.63	$513.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $205.18 / $284.83 / $326.06	Professional		$205.18	$284.83	$326.06
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $62.80 / $62.80 / $62.80	Professional	80	$62.80	$62.80	$62.80
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $62.80 / $62.80 / $62.80	Professional	AS	$62.80	$62.80	$62.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00