Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.67 / $1,071.67 / $1,071.67	Facility		$1,071.67	$1,071.67	$1,071.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,351.43 / $1,767.10 / $2,814.23	Facility		$1,351.43	$1,767.10	$2,814.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,618.72 / $2,651.31 / $21,153.50	Facility		$1,618.72	$2,651.31	$21,153.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,331.36 / $1,814.12 / $2,134.12	Professional		$1,331.36	$1,814.12	$2,134.12
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $399.19 / $399.19 / $399.19	Professional	AS	$399.19	$399.19	$399.19
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