Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.37 / $1,316.37 / $4,338.00	Facility		$1,316.37	$1,316.37	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,701.37 / $2,175.76 / $3,501.78	Facility		$1,701.37	$2,175.76	$3,501.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,012.61 / $3,029.62 / $4,131.72	Facility		$2,012.61	$3,029.62	$4,131.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,650.59 / $2,241.31 / $2,630.30	Professional		$1,650.59	$2,241.31	$2,630.30
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $496.74 / $496.74 / $496.74	Professional	80	$496.74	$496.74	$496.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $496.74 / $496.74 / $496.74	Professional	AS	$496.74	$496.74	$496.74
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