Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $121.52 / $2,290.00	Facility		$121.52	$121.52	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.88 / $190.16 / $308.30	Facility		$118.88	$190.16	$308.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.13 / $290.61 / $376.46	Facility		$231.13	$290.61	$376.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $161.32 / $204.26 / $232.88	Professional		$161.32	$204.26	$232.88
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $48.00 / $48.00 / $48.00	Professional	80	$48.00	$48.00	$48.00
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $48.00 / $48.00 / $48.00	Professional	AS	$48.00	$48.00	$48.00
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00