Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,290.87 / $4,365.16	Facility		$338.84	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $954.99	Facility		$446.68	$588.84	$954.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Professional		$758.58	$812.83	$812.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $707.95	Professional		$436.52	$616.60	$707.95
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	80	$141.25	$141.25	$141.25
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	AS	$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83