Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.97 / $758.97 / $758.97	Facility		$758.97	$758.97	$758.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $978.62 / $1,260.30 / $1,763.78	Facility		$978.62	$1,260.30	$1,763.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,815.00 / $8,250.46	Facility		$1,285.00	$1,815.00	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.06 / $1,146.77 / $1,441.94	Professional		$758.06	$1,146.77	$1,441.94
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $250.81 / $250.81 / $250.81	Professional	AS	$250.81	$250.81	$250.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $14,287.46	Facility		$3,143.00	$3,143.00	$14,287.46