Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.87 / $148.87 / $148.87	Facility		$148.87	$148.87	$148.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $251.59 / $408.46	Facility		$185.00	$251.59	$408.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $351.91 / $463.02	Facility		$285.00	$351.91	$463.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $251.36 / $286.58	Professional		$191.15	$251.36	$286.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $56.88 / $56.88 / $56.88	Professional	80	$56.88	$56.88	$56.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $56.88 / $56.88 / $56.88	Professional	AS	$56.88	$56.88	$56.88
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