Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.15 / $457.15 / $3,511.00	Facility		$457.15	$457.15	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.05 / $790.24 / $1,285.39	Facility		$606.05	$790.24	$1,285.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $850.16 / $1,180.14 / $3,711.03	Facility		$850.16	$1,180.14	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $598.73 / $813.08 / $927.01	Professional		$598.73	$813.08	$927.01
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $179.65 / $179.65 / $179.65	Professional	80	$179.65	$179.65	$179.65
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $179.65 / $179.65 / $179.65	Professional	AS	$179.65	$179.65	$179.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00