Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.28 / $5,660.68 / $5,660.68	Facility		$481.28	$5,660.68	$5,660.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $627.67 / $814.90 / $1,236.92	Facility		$627.67	$814.90	$1,236.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $886.54 / $1,266.43 / $3,711.03	Facility		$886.54	$1,266.43	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $586.14 / $806.39 / $956.12	Professional		$586.14	$806.39	$956.12
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $175.79 / $175.79 / $175.79	Professional	AS	$175.79	$175.79	$175.79
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