Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.91 / $1,113.91 / $4,338.00	Facility		$1,113.91	$1,113.91	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,429.56 / $1,882.51 / $2,965.72	Facility		$1,429.56	$1,882.51	$2,965.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,705.11 / $2,564.04 / $3,497.66	Facility		$1,705.11	$2,564.04	$3,497.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,397.26 / $1,898.41 / $2,225.98	Professional		$1,397.26	$1,898.41	$2,225.98
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $420.94 / $420.94 / $420.94	Professional	80	$420.94	$420.94	$420.94
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $420.94 / $420.94 / $420.94	Professional	AS	$420.94	$420.94	$420.94
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