Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,365.16 / $4,897.79	Facility		$213.80	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $354.81 / $501.19	Facility		$263.03	$354.81	$501.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $436.52	Professional		$398.11	$416.87	$436.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $446.68	Professional		$234.42	$371.54	$446.68
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	80	$74.13	$74.13	$74.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $74.13 / $74.13 / $74.13	Professional	AS	$74.13	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83