Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.17 / $436.17 / $3,073.00	Facility		$436.17	$436.17	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $529.25 / $697.34 / $1,009.50	Facility		$529.25	$697.34	$1,009.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $815.14 / $1,152.17 / $25,562.20	Facility		$815.14	$1,152.17	$25,562.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $539.29 / $738.19 / $841.62	Professional		$539.29	$738.19	$841.62
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $170.51 / $170.51 / $170.51	Professional	AS	$170.51	$170.51	$170.51
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