Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $4,365.16	Facility		$2,511.89	$2,511.89	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,630.78 / $7,079.46	Facility		$3,090.30	$3,630.78	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,888.44 / $6,165.95	Professional		$5,754.40	$5,888.44	$6,165.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $5,495.41	Professional		$3,162.28	$4,786.30	$5,495.41
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	80	$1,071.52	$1,071.52	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional	AS	$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26