Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $4,365.16	Facility		$977.24	$977.24	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Facility		$1,288.25	$1,659.59	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,238.72	Professional		$2,089.30	$2,238.72	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $1,949.84	Professional		$1,174.90	$1,698.24	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $380.19 / $380.19 / $380.19	Professional	80	$380.19	$380.19	$380.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $380.19 / $380.19 / $380.19	Professional	AS	$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84