Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $686.02 / $686.02 / $686.02	Facility		$686.02	$686.02	$686.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $834.46 / $1,103.08 / $1,854.26	Facility		$834.46	$1,103.08	$1,854.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,144.00 / $1,864.20 / $5,090.60	Facility		$1,144.00	$1,864.20	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $877.26 / $1,183.03 / $1,388.89	Professional		$877.26	$1,183.03	$1,388.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $262.14 / $262.14 / $262.14	Professional	80	$262.14	$262.14	$262.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $262.14 / $262.14 / $262.14	Professional	AS	$262.14	$262.14	$262.14
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00