Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.57 / $124.57 / $124.57	Facility		$124.57	$124.57	$124.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.37 / $224.82 / $387.80	Facility		$138.37	$224.82	$387.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.14 / $317.74 / $438.00	Facility		$212.14	$317.74	$438.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $174.42 / $238.31 / $271.70	Professional		$174.42	$238.31	$271.70
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $53.15 / $53.15 / $53.15	Professional	80	$53.15	$53.15	$53.15
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $53.15 / $53.15 / $53.15	Professional	AS	$53.15	$53.15	$53.15
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