Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.10 / $794.10 / $794.10	Facility		$794.10	$794.10	$794.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.71 / $1,310.51 / $2,106.07	Facility		$1,040.71	$1,310.51	$2,106.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,203.19 / $1,832.44 / $2,547.64	Facility		$1,203.19	$1,832.44	$2,547.64
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,014.72 / $1,386.30 / $1,630.83	Professional		$1,014.72	$1,386.30	$1,630.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $303.95 / $303.95 / $303.95	Professional	80	$303.95	$303.95	$303.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $303.95 / $303.95 / $303.95	Professional	AS	$303.95	$303.95	$303.95
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00