Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.60 / $314.60 / $314.60	Facility		$314.60	$314.60	$314.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $337.16 / $570.96 / $957.51	Facility		$337.16	$570.96	$957.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $517.64 / $836.31 / $6,721.75	Facility		$517.64	$836.31	$6,721.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.07 / $576.72 / $676.01	Professional		$426.07	$576.72	$676.01
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $128.30 / $128.30 / $128.30	Professional	80	$128.30	$128.30	$128.30
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $128.30 / $128.30 / $128.30	Professional	AS	$128.30	$128.30	$128.30
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