Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,037.24 / $1,037.24 / $4,338.00	Facility		$1,037.24	$1,037.24	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,264.77 / $1,742.69 / $2,857.38	Facility		$1,264.77	$1,742.69	$2,857.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,619.95 / $2,431.26 / $3,394.41	Facility		$1,619.95	$2,431.26	$3,394.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,357.48 / $1,866.50 / $2,147.06	Professional		$1,357.48	$1,866.50	$2,147.06
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $407.43 / $407.43 / $407.43	Professional	80	$407.43	$407.43	$407.43
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $407.43 / $407.43 / $407.43	Professional	AS	$407.43	$407.43	$407.43
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