Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,254.65 / $1,254.65 / $1,254.65	Facility		$1,254.65	$1,254.65	$1,254.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,330.62 / $1,918.93 / $3,686.24	Facility		$1,330.62	$1,918.93	$3,686.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,107.85 / $3,168.01 / $4,364.26	Facility		$2,107.85	$3,168.01	$4,364.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,542.74 / $2,369.54 / $2,727.33	Professional		$1,542.74	$2,369.54	$2,727.33
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $527.11 / $527.11 / $527.11	Professional	80	$527.11	$527.11	$527.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $527.11 / $527.11 / $527.11	Professional	AS	$527.11	$527.11	$527.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00