Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $4,365.16	Facility		$204.17	$204.17	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $281.84 / $562.34	Facility		$239.88	$281.84	$562.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $478.63	Professional		$446.68	$457.09	$478.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $407.38	Professional		$269.15	$371.54	$407.38
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	80	$83.18	$83.18	$83.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $83.18 / $83.18 / $83.18	Professional	AS	$83.18	$83.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26