Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.42 / $341.42 / $341.42	Facility		$341.42	$341.42	$341.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $366.15 / $618.64 / $1,043.46	Facility		$366.15	$618.64	$1,043.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $557.33 / $907.74 / $6,721.75	Facility		$557.33	$907.74	$6,721.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $455.23 / $615.59 / $734.23	Professional		$455.23	$615.59	$734.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $137.69 / $137.69 / $137.69	Professional	80	$137.69	$137.69	$137.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $137.69 / $137.69 / $137.69	Professional	AS	$137.69	$137.69	$137.69
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