Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $2,290.00	Facility		$65.34	$65.34	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $98.31 / $150.07	Facility		$78.68	$98.31	$150.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $121.58 / $153.91 / $213.78	Facility		$121.58	$153.91	$213.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $119.15 / $135.85	Professional		$83.04	$119.15	$135.85
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $24.71 / $24.71 / $24.71	Professional	80	$24.71	$24.71	$24.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $24.71 / $24.71 / $24.71	Professional	AS	$24.71	$24.71	$24.71
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00