Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.07 / $365.07 / $4,338.00	Facility		$365.07	$365.07	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.25 / $608.23 / $1,034.42	Facility		$443.25	$608.23	$1,034.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $583.17 / $871.77 / $1,219.08	Facility		$583.17	$871.77	$1,219.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $503.02 / $675.77 / $770.46	Professional		$503.02	$675.77	$770.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $149.79 / $149.79 / $149.79	Professional	80	$149.79	$149.79	$149.79
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $149.79 / $149.79 / $149.79	Professional	AS	$149.79	$149.79	$149.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00