Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,290.87 / $4,365.16	Facility		$257.04	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $446.68 / $741.31	Facility		$346.74	$446.68	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $616.60 / $616.60	Professional		$588.84	$616.60	$616.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $549.54	Professional		$331.13	$478.63	$549.54
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	80	$109.65	$109.65	$109.65
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $109.65 / $109.65 / $109.65	Professional	AS	$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83