Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.23 / $312.23 / $312.23	Facility		$312.23	$312.23	$312.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $345.16 / $565.08 / $969.40	Facility		$345.16	$565.08	$969.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $530.84 / $796.55 / $1,086.64	Facility		$530.84	$796.55	$1,086.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $432.72 / $593.54 / $678.60	Professional		$432.72	$593.54	$678.60
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $131.91 / $131.91 / $131.91	Professional	80	$131.91	$131.91	$131.91
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $131.91 / $131.91 / $131.91	Professional	AS	$131.91	$131.91	$131.91
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