Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,548.13 / $4,365.16	Facility		$1,122.02	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,778.28 / $2,951.21	Facility		$758.58	$1,778.28	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,570.40	Professional		$2,344.23	$2,570.40	$2,570.40
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,238.72	Professional		$1,230.27	$1,905.46	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	80	$426.58	$426.58	$426.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $426.58 / $426.58 / $426.58	Professional	AS	$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28