Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.29 / $3,878.28 / $10,509.37	Facility		$689.29	$3,878.28	$10,509.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $837.25 / $1,106.38 / $1,857.46	Facility		$837.25	$1,106.38	$1,857.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,253.00 / $1,858.81 / $5,090.60	Facility		$1,253.00	$1,858.81	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $878.77 / $1,183.03 / $1,384.37	Professional		$878.77	$1,183.03	$1,384.37
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $261.49 / $261.49 / $261.49	Professional	80	$261.49	$261.49	$261.49
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $261.49 / $261.49 / $261.49	Professional	AS	$261.49	$261.49	$261.49
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