Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.81 / $716.81 / $716.81	Facility		$716.81	$716.81	$716.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $871.87 / $1,211.41 / $1,919.28	Facility		$871.87	$1,211.41	$1,919.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,333.31 / $1,905.48 / $3,711.03	Facility		$1,333.31	$1,905.48	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $843.25 / $1,228.28 / $1,412.83	Professional		$843.25	$1,228.28	$1,412.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $267.16 / $267.16 / $267.16	Professional	AS	$267.16	$267.16	$267.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00