Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $149.06 / $149.06	Facility		$149.06	$149.06	$149.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.07 / $206.91 / $413.80	Facility		$175.07	$206.91	$413.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $234.04 / $365.94 / $479.70	Facility		$234.04	$365.94	$479.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $196.38 / $262.55 / $296.27	Professional		$196.38	$262.55	$296.27
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $58.42 / $58.42 / $58.42	Professional	80	$58.42	$58.42	$58.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $58.42 / $58.42 / $58.42	Professional	AS	$58.42	$58.42	$58.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00