Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.10 / $374.10 / $10,350.00	Facility		$374.10	$374.10	$10,350.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $490.35 / $639.78 / $984.74	Facility		$490.35	$639.78	$984.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $646.00 / $922.74 / $3,711.03	Facility		$646.00	$922.74	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $455.57 / $625.79 / $736.17	Professional		$455.57	$625.79	$736.17
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $137.57 / $137.57 / $137.57	Professional	80	$137.57	$137.57	$137.57
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $137.57 / $137.57 / $137.57	Professional	AS	$137.57	$137.57	$137.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00