Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,365.16 / $4,897.79	Facility		$724.44	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,862.09	Facility		$954.99	$1,230.27	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,445.44	Professional		$831.76	$1,230.27	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84