Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $4,365.16 / $4,570.88	Facility		$363.08	$4,365.16	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $616.60 / $1,096.48	Facility		$489.78	$616.60	$1,096.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $870.96	Professional		$831.76	$870.96	$870.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $776.25	Professional		$489.78	$691.83	$776.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	80	$154.88	$154.88	$154.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $154.88 / $154.88 / $154.88	Professional	AS	$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84