Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $4,365.16	Facility		$123.03	$123.03	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $208.93 / $398.11	Facility		$112.20	$208.93	$398.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $331.13	Professional		$309.03	$316.23	$331.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $288.40	Professional		$165.96	$229.09	$288.40
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	80	$54.95	$54.95	$54.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	AS	$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26