Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,202.26 / $4,365.16	Facility		$154.88	$1,202.26	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $275.42 / $436.52	Facility		$208.93	$275.42	$436.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $371.54	Professional		$346.74	$371.54	$371.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $323.59	Professional		$199.53	$281.84	$323.59
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	80	$64.57	$64.57	$64.57
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $64.57 / $64.57 / $64.57	Professional	AS	$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28