Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.76 / $541.76 / $541.76	Facility		$541.76	$541.76	$541.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $550.21 / $846.39 / $1,433.48	Facility		$550.21	$846.39	$1,433.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $889.00 / $1,217.67 / $1,662.28	Facility		$889.00	$1,217.67	$1,662.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $680.48 / $902.73 / $1,029.22	Professional		$680.48	$902.73	$1,029.22
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $203.07 / $203.07 / $203.07	Professional	80	$203.07	$203.07	$203.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $203.07 / $203.07 / $203.07	Professional	AS	$203.07	$203.07	$203.07
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