Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $97.14 / $3,511.00	Facility		$97.14	$97.14	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.91 / $171.81 / $275.94	Facility		$129.91	$171.81	$275.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $238.89 / $1,089.00	Facility		$159.44	$238.89	$1,089.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $174.19 / $213.07	Professional		$129.13	$174.19	$213.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $38.86 / $38.86 / $38.86	Professional	AS	$38.86	$38.86	$38.86
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00