Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,635.16 / $1,635.16 / $1,635.16	Facility		$1,635.16	$1,635.16	$1,635.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,743.23 / $2,763.42 / $4,799.89	Facility		$1,743.23	$2,763.42	$4,799.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,748.12 / $4,123.75 / $5,584.37	Facility		$2,748.12	$4,123.75	$5,584.37
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,040.72 / $3,062.30 / $3,495.20	Professional		$2,040.72	$3,062.30	$3,495.20
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $677.93 / $677.93 / $677.93	Professional	80	$677.93	$677.93	$677.93
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $677.93 / $677.93 / $677.93	Professional	AS	$677.93	$677.93	$677.93
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