Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,548.13 / $4,365.16	Facility		$2,137.96	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $5,754.40	Facility		$2,691.53	$3,388.44	$5,754.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $5,248.07	Professional		$4,786.30	$5,248.07	$5,248.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $4,365.16	Professional		$2,691.53	$3,890.45	$4,365.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	80	$870.96	$870.96	$870.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	AS	$870.96	$870.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53