Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.85 / $308.85 / $2,290.00	Facility		$308.85	$308.85	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.47 / $488.98 / $714.26	Facility		$374.47	$488.98	$714.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $493.55 / $733.61 / $1,030.31	Facility		$493.55	$733.61	$1,030.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $412.02 / $565.02 / $652.08	Professional		$412.02	$565.02	$652.08
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $125.86 / $125.86 / $125.86	Professional	80	$125.86	$125.86	$125.86
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $125.86 / $125.86 / $125.86	Professional	AS	$125.86	$125.86	$125.86
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00