Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,645.82 / $1,645.82 / $1,645.82	Facility		$1,645.82	$1,645.82	$1,645.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,781.44 / $4,468.99	Facility		$2,000.00	$2,781.44	$4,468.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,999.00 / $3,725.75 / $5,093.21	Facility		$2,999.00	$3,725.75	$5,093.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,091.42 / $2,758.13 / $3,144.58	Professional		$2,091.42	$2,758.13	$3,144.58
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $622.33 / $622.33 / $622.33	Professional	80	$622.33	$622.33	$622.33
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $622.33 / $622.33 / $622.33	Professional	AS	$622.33	$622.33	$622.33
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