Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.97 / $207.97 / $2,290.00	Facility		$207.97	$207.97	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $253.80 / $299.94 / $605.58	Facility		$253.80	$299.94	$605.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.03 / $541.49 / $723.74	Facility		$339.03	$541.49	$723.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $300.13 / $403.42 / $459.95	Professional		$300.13	$403.42	$459.95
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $89.31 / $89.31 / $89.31	Professional	80	$89.31	$89.31	$89.31
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $89.31 / $89.31 / $89.31	Professional	AS	$89.31	$89.31	$89.31
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00