Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.90 / $1,125.90 / $1,125.90	Facility		$1,125.90	$1,125.90	$1,125.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,222.25 / $1,902.77 / $3,454.90	Facility		$1,222.25	$1,902.77	$3,454.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,858.77 / $2,799.55 / $3,890.82	Facility		$1,858.77	$2,799.55	$3,890.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,269.75 / $2,092.78 / $2,451.75	Professional		$1,269.75	$2,092.78	$2,451.75
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $467.01 / $467.01 / $467.01	Professional	80	$467.01	$467.01	$467.01
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00