Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.66 / $843.29 / $843.29	Facility		$615.66	$843.29	$843.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $877.58 / $1,190.96 / $1,930.91	Facility		$877.58	$1,190.96	$1,930.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,271.52 / $1,814.40 / $8,250.46	Facility		$1,271.52	$1,814.40	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $888.71 / $1,214.23 / $1,612.72	Professional		$888.71	$1,214.23	$1,612.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $304.86 / $304.86 / $304.86	Professional	AS	$304.86	$304.86	$304.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00