Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.51 / $137.51 / $137.51	Facility		$137.51	$137.51	$137.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.94 / $232.39 / $428.77	Facility		$153.94	$232.39	$428.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.42 / $354.17 / $488.05	Facility		$236.42	$354.17	$488.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $264.98 / $302.10	Professional		$198.23	$264.98	$302.10
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $59.20 / $59.20 / $59.20	Professional	80	$59.20	$59.20	$59.20
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $59.20 / $59.20 / $59.20	Professional	AS	$59.20	$59.20	$59.20
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