Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.91 / $556.91 / $3,511.00	Facility		$556.91	$556.91	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.03 / $926.27 / $1,583.69	Facility		$676.03	$926.27	$1,583.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $908.76 / $1,299.99 / $1,831.24	Facility		$908.76	$1,299.99	$1,831.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $742.98 / $1,004.30 / $1,145.01	Professional		$742.98	$1,004.30	$1,145.01
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $221.09 / $221.09 / $221.09	Professional	AS	$221.09	$221.09	$221.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00