Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,612.68 / $1,612.68 / $1,612.68	Facility		$1,612.68	$1,612.68	$1,612.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,638.72 / $2,238.90 / $4,350.76	Facility		$1,638.72	$2,238.90	$4,350.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,475.36 / $3,925.36 / $5,092.16	Facility		$2,475.36	$3,925.36	$5,092.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,009.35 / $2,797.28 / $3,189.22	Professional		$2,009.35	$2,797.28	$3,189.22
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $617.32 / $617.32 / $617.32	Professional	80	$617.32	$617.32	$617.32
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $617.32 / $617.32 / $617.32	Professional	AS	$617.32	$617.32	$617.32
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00