Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,437.66 / $1,437.66 / $1,437.66	Facility		$1,437.66	$1,437.66	$1,437.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,688.89 / $2,429.65 / $3,870.95	Facility		$1,688.89	$2,429.65	$3,870.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,202.50 / $3,497.33 / $4,541.54	Facility		$2,202.50	$3,497.33	$4,541.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,842.82 / $2,490.21 / $2,841.18	Professional		$1,842.82	$2,490.21	$2,841.18
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $549.11 / $549.11 / $549.11	Professional	80	$549.11	$549.11	$549.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $549.11 / $549.11 / $549.11	Professional	AS	$549.11	$549.11	$549.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00