Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.70 / $1,168.70 / $4,338.00	Facility		$1,168.70	$1,168.70	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,537.55 / $1,931.47 / $3,113.45	Facility		$1,537.55	$1,931.47	$3,113.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,788.80 / $2,691.08 / $3,668.70	Facility		$1,788.80	$2,691.08	$3,668.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,462.99 / $1,993.57 / $2,337.25	Professional		$1,462.99	$1,993.57	$2,337.25
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $441.27 / $441.27 / $441.27	Professional	80	$441.27	$441.27	$441.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $441.27 / $441.27 / $441.27	Professional	AS	$441.27	$441.27	$441.27
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