Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.05 / $689.05 / $3,511.00	Facility		$689.05	$689.05	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,165.93 / $1,783.41	Facility		$891.00	$1,165.93	$1,783.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,027.33 / $1,552.79 / $2,135.73	Facility		$1,027.33	$1,552.79	$2,135.73
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $844.38 / $1,160.92 / $1,368.19	Professional		$844.38	$1,160.92	$1,368.19
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $254.03 / $254.03 / $254.03	Professional	AS	$254.03	$254.03	$254.03
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