Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.17 / $685.17 / $4,338.00	Facility		$685.17	$685.17	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $916.42 / $1,157.94 / $1,923.35	Facility		$916.42	$1,157.94	$1,923.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,110.90 / $1,871.33 / $2,353.67	Facility		$1,110.90	$1,871.33	$2,353.67
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $907.84 / $1,262.57 / $1,485.28	Professional		$907.84	$1,262.57	$1,485.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $274.36 / $274.36 / $274.36	Professional	80	$274.36	$274.36	$274.36
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $274.36 / $274.36 / $274.36	Professional	AS	$274.36	$274.36	$274.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00