Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.08 / $240.08 / $240.08	Facility		$240.08	$240.08	$240.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $325.01 / $430.28 / $691.93	Facility		$325.01	$430.28	$691.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $390.63 / $584.78 / $814.43	Facility		$390.63	$584.78	$814.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $326.60 / $453.35 / $555.67	Professional		$326.60	$453.35	$555.67
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $99.99 / $99.99 / $99.99	Professional	80	$99.99	$99.99	$99.99
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $99.99 / $99.99 / $99.99	Professional	AS	$99.99	$99.99	$99.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00