Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.84 / $663.84 / $5,149.20	Facility		$663.84	$663.84	$5,149.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $331.92 / $331.92 / $331.92	Facility	52	$331.92	$331.92	$331.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.76 / $1,121.89 / $2,134.60	Facility		$787.76	$1,121.89	$2,134.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,390.00 / $1,737.64 / $8,568.00	Facility		$1,390.00	$1,737.64	$8,568.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $849.77 / $1,162.91 / $1,334.46	Professional		$849.77	$1,162.91	$1,334.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $246.57 / $246.57 / $246.57	Professional	80	$246.57	$246.57	$246.57
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $246.57 / $246.57 / $246.57	Professional	AS	$246.57	$246.57	$246.57
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00