Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.94 / $253.94 / $253.94	Facility		$253.94	$253.94	$253.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.95 / $429.16 / $699.25	Facility		$300.95	$429.16	$699.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $398.34 / $632.64 / $822.79	Facility		$398.34	$632.64	$822.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $333.77 / $449.66 / $512.99	Professional		$333.77	$449.66	$512.99
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $99.99 / $99.99 / $99.99	Professional	80	$99.99	$99.99	$99.99
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $99.99 / $99.99 / $99.99	Professional	AS	$99.99	$99.99	$99.99
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