Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.33 / $1,044.33 / $3,511.00	Facility		$1,044.33	$1,044.33	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,276.91 / $1,679.25 / $2,762.59	Facility		$1,276.91	$1,679.25	$2,762.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,590.95 / $2,585.11 / $21,172.33	Facility		$1,590.95	$2,585.11	$21,172.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,303.88 / $1,770.68 / $2,083.02	Professional		$1,303.88	$1,770.68	$2,083.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $391.21 / $391.21 / $391.21	Professional	AS	$391.21	$391.21	$391.21
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