Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,187.76 / $4,365.16	Facility		$1,905.46	$2,187.76	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,548.13 / $3,715.35	Professional		$3,467.37	$3,548.13	$3,715.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,162.28	Professional		$1,949.84	$2,818.38	$3,162.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	80	$630.96	$630.96	$630.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $630.96 / $630.96 / $630.96	Professional	AS	$630.96	$630.96	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93