Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,851.64 / $1,851.64 / $4,338.00	Facility		$1,851.64	$1,851.64	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $925.82 / $925.82 / $925.82	Facility	52	$925.82	$925.82	$925.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,449.13 / $3,129.27 / $5,031.77	Facility		$2,449.13	$3,129.27	$5,031.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,889.82 / $4,339.35 / $5,873.24	Facility		$2,889.82	$4,339.35	$5,873.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,351.10 / $3,213.73 / $3,717.09	Professional		$2,351.10	$3,213.73	$3,717.09
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $711.39 / $711.39 / $711.39	Professional	80	$711.39	$711.39	$711.39
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $711.39 / $711.39 / $711.39	Professional	AS	$711.39	$711.39	$711.39
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00