Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.59 / $134.59 / $2,290.00	Facility		$134.59	$134.59	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $164.21 / $194.06 / $396.83	Facility		$164.21	$194.06	$396.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $222.26 / $348.36 / $467.20	Facility		$222.26	$348.36	$467.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $195.95 / $263.12 / $292.39	Professional		$195.95	$263.12	$292.39
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $58.17 / $58.17 / $58.17	Professional	AS	$58.17	$58.17	$58.17
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00