Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,290.87 / $4,365.16	Facility		$64.57	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $151.36	Facility		$79.43	$107.15	$151.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $154.88	Professional		$141.25	$154.88	$154.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $147.91	Professional		$85.11	$120.23	$147.91
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	80	$25.70	$25.70	$25.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	AS	$25.70	$25.70	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83