Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.10 / $643.10 / $643.10	Facility		$643.10	$643.10	$643.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.72 / $1,085.26 / $1,663.63	Facility		$844.72	$1,085.26	$1,663.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,193.03 / $1,587.89 / $8,250.46	Facility		$1,193.03	$1,587.89	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.16 / $1,067.13 / $1,265.33	Professional		$776.16	$1,067.13	$1,265.33
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $236.53 / $236.53 / $236.53	Professional	80	$236.53	$236.53	$236.53
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $236.53 / $236.53 / $236.53	Professional	AS	$236.53	$236.53	$236.53
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