Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $5,754.40	Facility		$724.44	$3,548.13	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,905.46	Facility		$870.96	$1,202.26	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,659.59	Professional		$1,513.56	$1,659.59	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,445.44	Professional		$794.33	$1,230.27	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32