Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.84 / $491.84 / $491.84	Facility		$491.84	$491.84	$491.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $646.65 / $846.72 / $1,313.08	Facility		$646.65	$846.72	$1,313.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $753.61 / $1,132.38 / $1,569.46	Facility		$753.61	$1,132.38	$1,569.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $624.28 / $844.19 / $985.88	Professional		$624.28	$844.19	$985.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $186.85 / $186.85 / $186.85	Professional	AS	$186.85	$186.85	$186.85
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