Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.50 / $4,017.60 / $13,484.36	Facility		$299.50	$4,017.60	$13,484.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.56 / $544.28 / $905.60	Facility		$323.56	$544.28	$905.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $490.10 / $797.46 / $6,721.75	Facility		$490.10	$797.46	$6,721.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $402.46 / $544.23 / $648.84	Professional		$402.46	$544.23	$648.84
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $121.35 / $121.35 / $121.35	Professional	80	$121.35	$121.35	$121.35
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $121.35 / $121.35 / $121.35	Professional	AS	$121.35	$121.35	$121.35
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