Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.21 / $4,338.00 / $8,661.66	Facility		$882.21	$4,338.00	$8,661.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,162.02 / $1,490.93 / $2,347.42	Facility		$1,162.02	$1,490.93	$2,347.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,349.10 / $2,033.43 / $2,777.05	Facility		$1,349.10	$2,033.43	$2,777.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,110.02 / $1,502.14 / $1,762.16	Professional		$1,110.02	$1,502.14	$1,762.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $333.56 / $333.56 / $333.56	Professional	80	$333.56	$333.56	$333.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $333.56 / $333.56 / $333.56	Professional	AS	$333.56	$333.56	$333.56
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