Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.97 / $754.97 / $2,290.00	Facility		$754.97	$754.97	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $915.91 / $1,319.31 / $2,125.04	Facility		$915.91	$1,319.31	$2,125.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,204.39 / $1,801.83 / $2,509.07	Facility		$1,204.39	$1,801.83	$2,509.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,004.09 / $1,392.48 / $1,588.79	Professional		$1,004.09	$1,392.48	$1,588.79
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $307.18 / $307.18 / $307.18	Professional	80	$307.18	$307.18	$307.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $307.18 / $307.18 / $307.18	Professional	AS	$307.18	$307.18	$307.18
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00