Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.35 / $212.35 / $4,338.00	Facility		$212.35	$212.35	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.52 / $353.76 / $498.87	Facility		$264.52	$353.76	$498.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $282.38 / $440.31 / $588.16	Facility		$282.38	$440.31	$588.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $236.19 / $383.83 / $451.54	Professional		$236.19	$383.83	$451.54
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $71.81 / $71.81 / $71.81	Professional	80	$71.81	$71.81	$71.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $71.81 / $71.81 / $71.81	Professional	AS	$71.81	$71.81	$71.81
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00