Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.74 / $19,962.33 / $19,962.33	Facility		$1,537.74	$19,962.33	$19,962.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,710.51 / $2,598.78 / $4,753.02	Facility		$1,710.51	$2,598.78	$4,753.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,588.36 / $3,883.71 / $5,371.65	Facility		$2,588.36	$3,883.71	$5,371.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,158.58 / $2,918.99 / $3,361.29	Professional		$2,158.58	$2,918.99	$3,361.29
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $647.94 / $647.94 / $647.94	Professional	80	$647.94	$647.94	$647.94
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $647.94 / $647.94 / $647.94	Professional	AS	$647.94	$647.94	$647.94
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