Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.52 / $1,206.52 / $4,338.00	Facility		$1,206.52	$1,206.52	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,545.95 / $2,035.56 / $3,223.01	Facility		$1,545.95	$2,035.56	$3,223.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,852.37 / $2,779.44 / $3,793.81	Facility		$1,852.37	$2,779.44	$3,793.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,516.18 / $2,063.19 / $2,412.94	Professional		$1,516.18	$2,063.19	$2,412.94
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $456.97 / $456.97 / $456.97	Professional	80	$456.97	$456.97	$456.97
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $456.97 / $456.97 / $456.97	Professional	AS	$456.97	$456.97	$456.97
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