Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,290.87 / $4,365.16	Facility		$190.55	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $316.23 / $588.84	Facility		$257.04	$316.23	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $478.63	Professional		$457.09	$467.74	$478.63
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $426.58	Professional		$257.04	$371.54	$426.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	80	$85.11	$85.11	$85.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $85.11 / $85.11 / $85.11	Professional	AS	$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83