Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.39 / $1,084.24 / $1,084.24	Facility		$842.39	$1,084.24	$1,084.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,193.41 / $1,537.27 / $2,492.39	Facility		$1,193.41	$1,537.27	$2,492.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,650.26 / $2,343.51 / $3,711.03	Facility		$1,650.26	$2,343.51	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,077.95 / $1,656.06 / $2,083.02	Professional		$1,077.95	$1,656.06	$2,083.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $395.59 / $395.59 / $395.59	Professional	AS	$395.59	$395.59	$395.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00