Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,365.16 / $4,897.79	Facility		$1,096.48	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,090.30	Facility		$1,380.38	$1,621.81	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,691.53	Professional		$2,454.71	$2,570.40	$2,691.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,290.87	Professional		$1,318.26	$2,041.74	$2,290.87
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	80	$457.09	$457.09	$457.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	AS	$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84