Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.63 / $966.63 / $3,511.00	Facility		$966.63	$966.63	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,163.23 / $1,502.16 / $2,561.36	Facility		$1,163.23	$1,502.16	$2,561.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,473.80 / $2,392.06 / $11,114.94	Facility		$1,473.80	$2,392.06	$11,114.94
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,102.39 / $1,637.90 / $1,923.23	Professional		$1,102.39	$1,637.90	$1,923.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $363.03 / $363.03 / $363.03	Professional	AS	$363.03	$363.03	$363.03
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