Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.40 / $654.40 / $3,511.00	Facility		$654.40	$654.40	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $856.37 / $1,105.94 / $1,696.35	Facility		$856.37	$1,105.94	$1,696.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,617.47 / $8,250.46	Facility		$1,089.00	$1,617.47	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $785.96 / $1,104.29 / $1,304.80	Professional		$785.96	$1,104.29	$1,304.80
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $238.07 / $238.07 / $238.07	Professional	AS	$238.07	$238.07	$238.07
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