Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.95 / $317.95 / $2,290.00	Facility		$317.95	$317.95	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.39 / $497.35 / $806.35	Facility		$310.39	$497.35	$806.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $577.03 / $749.11 / $983.41	Facility		$577.03	$749.11	$983.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $405.66 / $533.36 / $608.09	Professional		$405.66	$533.36	$608.09
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $120.71 / $120.71 / $120.71	Professional	80	$120.71	$120.71	$120.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $120.71 / $120.71 / $120.71	Professional	AS	$120.71	$120.71	$120.71
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