Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.69 / $106.69 / $106.69	Facility		$106.69	$106.69	$106.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.79 / $192.62 / $330.95	Facility		$117.79	$192.62	$330.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.81 / $271.95 / $372.29	Facility		$181.81	$271.95	$372.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $203.13 / $231.59	Professional		$148.22	$203.13	$231.59
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $45.17 / $45.17 / $45.17	Professional	80	$45.17	$45.17	$45.17
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $45.17 / $45.17 / $45.17	Professional	AS	$45.17	$45.17	$45.17
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