Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $4,365.16	Facility		$645.65	$645.65	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,778.28	Facility		$851.14	$1,096.48	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,513.56	Professional		$1,412.54	$1,513.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,318.26	Professional		$831.76	$1,122.02	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	AS	$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32