Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.49 / $194.49 / $194.49	Facility		$194.49	$194.49	$194.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $249.36 / $328.69 / $569.09	Facility		$249.36	$328.69	$569.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $324.66 / $512.94 / $668.47	Facility		$324.66	$512.94	$668.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $256.49 / $364.84 / $415.96	Professional		$256.49	$364.84	$415.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $80.94 / $80.94 / $80.94	Professional	80	$80.94	$80.94	$80.94
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $80.94 / $80.94 / $80.94	Professional	AS	$80.94	$80.94	$80.94
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