Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.78 / $844.78 / $4,338.00	Facility		$844.78	$844.78	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,107.58 / $1,423.52 / $2,192.63	Facility		$1,107.58	$1,423.52	$2,192.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,085.29 / $4,703.62	Facility		$1,392.00	$2,085.29	$4,703.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,033.16 / $1,420.48 / $1,676.76	Professional		$1,033.16	$1,420.48	$1,676.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $311.68 / $311.68 / $311.68	Professional	AS	$311.68	$311.68	$311.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00