Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,548.13 / $4,365.16	Facility		$1,047.13	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,754.23	Facility		$1,288.25	$1,737.80	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,398.83	Professional		$2,187.76	$2,398.83	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,089.30	Professional		$1,202.26	$1,778.28	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $398.11 / $398.11 / $398.11	Professional	AS	$398.11	$398.11	$398.11
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