Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $4,365.16	Facility		$147.91	$147.91	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $245.47 / $407.38	Facility		$199.53	$245.47	$407.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $338.84	Professional		$323.59	$323.59	$338.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $288.40	Professional		$194.98	$263.03	$288.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	80	$58.88	$58.88	$58.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $58.88 / $58.88 / $58.88	Professional	AS	$58.88	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26