Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.13 / $447.13 / $2,290.00	Facility		$447.13	$447.13	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $542.64 / $744.92 / $1,290.46	Facility		$542.64	$744.92	$1,290.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $731.07 / $1,092.05 / $1,526.72	Facility		$731.07	$1,092.05	$1,526.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $626.22 / $826.13 / $941.89	Professional		$626.22	$826.13	$941.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $186.34 / $186.34 / $186.34	Professional	80	$186.34	$186.34	$186.34
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $186.34 / $186.34 / $186.34	Professional	AS	$186.34	$186.34	$186.34
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00