Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $4,365.16	Facility		$302.00	$302.00	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $537.03 / $870.96	Facility		$398.11	$537.03	$870.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $724.44	Professional		$691.83	$724.44	$724.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $660.69	Professional		$407.38	$549.54	$660.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	80	$125.89	$125.89	$125.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $125.89 / $125.89 / $125.89	Professional	AS	$125.89	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32