Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.34 / $186.34 / $186.34	Facility		$186.34	$186.34	$186.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.98 / $291.93 / $493.57	Facility		$198.98	$291.93	$493.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $311.00 / $418.23 / $573.54	Facility		$311.00	$418.23	$573.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $310.94 / $354.50	Professional		$233.96	$310.94	$354.50
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $69.62 / $69.62 / $69.62	Professional	80	$69.62	$69.62	$69.62
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $69.62 / $69.62 / $69.62	Professional	AS	$69.62	$69.62	$69.62
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