Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.34 / $484.34 / $4,338.00	Facility		$484.34	$484.34	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.13 / $818.53 / $1,339.25	Facility		$645.13	$818.53	$1,339.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $871.00 / $1,382.13 / $4,114.05	Facility		$871.00	$1,382.13	$4,114.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $622.74 / $869.48 / $1,035.69	Professional		$622.74	$869.48	$1,035.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $187.88 / $187.88 / $187.88	Professional	80	$187.88	$187.88	$187.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $187.88 / $187.88 / $187.88	Professional	AS	$187.88	$187.88	$187.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00