Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.94 / $189.94 / $2,290.00	Facility		$189.94	$189.94	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $319.52 / $561.42	Facility		$217.46	$319.52	$561.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $313.13 / $499.44 / $667.42	Facility		$313.13	$499.44	$667.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $276.77 / $371.65 / $423.72	Professional		$276.77	$371.65	$423.72
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $82.36 / $82.36 / $82.36	Professional	80	$82.36	$82.36	$82.36
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $82.36 / $82.36 / $82.36	Professional	AS	$82.36	$82.36	$82.36
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00