Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.02 / $395.02 / $3,511.00	Facility		$395.02	$395.02	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $411.64 / $771.64 / $1,165.58	Facility		$411.64	$771.64	$1,165.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $629.69 / $1,034.18 / $6,855.77	Facility		$629.69	$1,034.18	$6,855.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $694.52 / $817.03	Professional		$511.20	$694.52	$817.03
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $152.24 / $152.24 / $152.24	Professional	80	$152.24	$152.24	$152.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $152.24 / $152.24 / $152.24	Professional	AS	$152.24	$152.24	$152.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00