Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.12 / $523.12 / $523.12	Facility		$523.12	$523.12	$523.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $506.46 / $816.96 / $1,386.10	Facility		$506.46	$816.96	$1,386.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $834.00 / $1,176.23 / $1,602.85	Facility		$834.00	$1,176.23	$1,602.85
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $658.60 / $871.53 / $993.64	Professional		$658.60	$871.53	$993.64
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $196.25 / $196.25 / $196.25	Professional	80	$196.25	$196.25	$196.25
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $196.25 / $196.25 / $196.25	Professional	AS	$196.25	$196.25	$196.25
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