Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $528.46 / $528.46 / $4,338.00	Facility		$528.46	$528.46	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $567.78 / $891.28 / $1,582.56	Facility		$567.78	$891.28	$1,582.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $854.08 / $1,398.27 / $6,721.75	Facility		$854.08	$1,398.27	$6,721.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $709.66 / $959.65 / $1,138.54	Professional		$709.66	$959.65	$1,138.54
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $213.88 / $213.88 / $213.88	Professional	80	$213.88	$213.88	$213.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $213.88 / $213.88 / $213.88	Professional	AS	$213.88	$213.88	$213.88
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