Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.25 / $207.25 / $2,290.00	Facility		$207.25	$207.25	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $252.44 / $298.33 / $601.86	Facility		$252.44	$298.33	$601.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $337.46 / $537.01 / $714.34	Facility		$337.46	$537.01	$714.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $395.48 / $450.89	Professional		$294.14	$395.48	$450.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $87.51 / $87.51 / $87.51	Professional	80	$87.51	$87.51	$87.51
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $87.51 / $87.51 / $87.51	Professional	AS	$87.51	$87.51	$87.51
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00