Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $1,180.00 / $4,338.00	Facility		$1,180.00	$1,180.00	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,554.17 / $1,992.26 / $3,149.08	Facility		$1,554.17	$1,992.26	$3,149.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,186.32 / $3,176.41 / $22,686.74	Facility		$2,186.32	$3,176.41	$22,686.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,481.84 / $2,013.29 / $2,351.48	Professional		$1,481.84	$2,013.29	$2,351.48
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $445.13 / $445.13 / $445.13	Professional	AS	$445.13	$445.13	$445.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00