Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.73 / $1,492.73 / $4,338.00	Facility		$1,492.73	$1,492.73	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,002.86 / $2,549.04 / $4,187.12	Facility		$2,002.86	$2,549.04	$4,187.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,826.90 / $4,308.20 / $8,250.46	Facility		$2,826.90	$4,308.20	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,009.84 / $2,783.80 / $3,207.98	Professional		$2,009.84	$2,783.80	$3,207.98
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $611.14 / $611.14 / $611.14	Professional	80	$611.14	$611.14	$611.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $611.14 / $611.14 / $611.14	Professional	AS	$611.14	$611.14	$611.14
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