Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.21 / $222.21 / $4,338.00	Facility		$222.21	$222.21	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $296.41 / $375.53 / $681.21	Facility		$296.41	$375.53	$681.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $393.29 / $613.11 / $770.66	Facility		$393.29	$613.11	$770.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $423.85 / $483.23	Professional		$313.64	$423.85	$483.23
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $93.30 / $93.30 / $93.30	Professional	80	$93.30	$93.30	$93.30
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $93.30 / $93.30 / $93.30	Professional	AS	$93.30	$93.30	$93.30
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00