Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.64 / $724.64 / $724.64	Facility		$724.64	$724.64	$724.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.32 / $1,201.46 / $1,673.27	Facility		$933.32	$1,201.46	$1,673.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,728.38 / $3,711.03	Facility		$1,285.00	$1,728.38	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $760.83 / $1,088.96 / $1,373.37	Professional		$760.83	$1,088.96	$1,373.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $238.33 / $238.33 / $238.33	Professional	AS	$238.33	$238.33	$238.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00