Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.30 / $1,039.30 / $1,039.30	Facility		$1,039.30	$1,039.30	$1,039.30
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,744.24 / $6,725.51 / $14,845.61	Facility	50	$4,744.24	$6,725.51	$14,845.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,297.55 / $1,756.42 / $2,885.62	Facility		$1,297.55	$1,756.42	$2,885.62
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,213.74 / $4,213.74 / $4,213.74	Facility	50	$4,213.74	$4,213.74	$4,213.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $2,884.69 / $4,968.71	Facility		$1,925.00	$2,884.69	$4,968.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,366.18 / $1,832.85 / $2,144.46	Professional		$1,366.18	$1,832.85	$2,144.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $406.52 / $406.52 / $406.52	Professional	AS	$406.52	$406.52	$406.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00