Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.05 / $515.05 / $5,149.18	Facility		$515.05	$515.05	$5,149.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $611.97 / $987.36 / $4,674.83	Facility		$611.97	$987.36	$4,674.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $920.00 / $1,356.18 / $5,090.60	Facility		$920.00	$1,356.18	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $637.03 / $884.58 / $1,008.52	Professional		$637.03	$884.58	$1,008.52
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $189.56 / $189.56 / $189.56	Professional	80	$189.56	$189.56	$189.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $189.56 / $189.56 / $189.56	Professional	AS	$189.56	$189.56	$189.56
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00