Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,829.46 / $1,829.46 / $4,338.00	Facility		$1,829.46	$1,829.46	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,416.94 / $3,032.27 / $4,914.14	Facility		$2,416.94	$3,032.27	$4,914.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,841.33 / $4,263.70 / $5,787.72	Facility		$2,841.33	$4,263.70	$5,787.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,313.83 / $3,174.85 / $3,669.86	Professional		$2,313.83	$3,174.85	$3,669.86
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $699.55 / $699.55 / $699.55	Professional	80	$699.55	$699.55	$699.55
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $699.55 / $699.55 / $699.55	Professional	AS	$699.55	$699.55	$699.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00