Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.45 / $492.45 / $492.45	Facility		$492.45	$492.45	$492.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.37 / $832.24 / $1,233.02	Facility		$639.37	$832.24	$1,233.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $903.93 / $1,281.08 / $3,711.03	Facility		$903.93	$1,281.08	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $527.41 / $802.26 / $966.47	Professional		$527.41	$802.26	$966.47
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $176.56 / $176.56 / $176.56	Professional	AS	$176.56	$176.56	$176.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $6,489.22	Facility		$2,714.00	$2,714.00	$6,489.22