Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.90 / $615.61 / $9,000.00	Facility		$423.90	$615.61	$9,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.57 / $875.91 / $1,420.11	Facility		$609.57	$875.91	$1,420.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $944.69 / $1,327.50 / $3,711.03	Facility		$944.69	$1,327.50	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $626.03 / $839.68 / $1,179.95	Professional		$626.03	$839.68	$1,179.95
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $222.37 / $222.37 / $222.37	Professional	80	$222.37	$222.37	$222.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $222.37 / $222.37 / $222.37	Professional	AS	$222.37	$222.37	$222.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00