Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $1,241.01 / $4,338.00	Facility		$347.13	$1,241.01	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,602.72 / $2,069.69 / $3,318.15	Facility		$1,602.72	$2,069.69	$3,318.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,883.54 / $2,858.24 / $4,025.34	Facility		$1,883.54	$2,858.24	$4,025.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,602.01 / $2,197.94 / $2,585.66	Professional		$1,602.01	$2,197.94	$2,585.66
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	80	$482.32	$482.32	$482.32
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $482.32 / $482.32 / $482.32	Professional	AS	$482.32	$482.32	$482.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00