Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.17 / $302.17 / $302.17	Facility		$302.17	$302.17	$302.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $401.92 / $533.85 / $859.22	Facility		$401.92	$533.85	$859.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $486.47 / $725.96 / $1,001.13	Facility		$486.47	$725.96	$1,001.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $403.57 / $551.51 / $655.32	Professional		$403.57	$551.51	$655.32
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $122.90 / $122.90 / $122.90	Professional	80	$122.90	$122.90	$122.90
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $122.90 / $122.90 / $122.90	Professional	AS	$122.90	$122.90	$122.90
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00