Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $4,365.16	Facility		$1,479.11	$1,479.11	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $4,365.16	Facility		$1,348.96	$2,089.30	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $3,981.07	Professional		$3,630.78	$3,715.35	$3,981.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $3,235.94	Professional		$1,862.09	$2,691.53	$3,235.94
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $645.65 / $645.65 / $645.65	Professional	80	$645.65	$645.65	$645.65
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $645.65 / $645.65 / $645.65	Professional	AS	$645.65	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26