Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,365.16 / $22,387.21	Facility		$1,023.29	$4,365.16	$22,387.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,691.53	Facility		$1,348.96	$1,737.80	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,344.23 / $2,344.23	Professional		$2,187.76	$2,344.23	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,041.74	Professional		$1,202.26	$1,737.80	$2,041.74
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