Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.25 / $629.25 / $4,338.00	Facility		$629.25	$629.25	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.80 / $990.80 / $1,425.97	Facility		$783.80	$990.80	$1,425.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $857.00 / $1,714.55 / $6,152.06	Facility		$857.00	$1,714.55	$6,152.06
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $705.53 / $1,019.71 / $1,351.37	Professional		$705.53	$1,019.71	$1,351.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $187.37 / $187.37 / $187.37	Professional	80	$187.37	$187.37	$187.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $187.37 / $187.37 / $187.37	Professional	AS	$187.37	$187.37	$187.37
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