Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.19 / $1,125.19 / $3,511.00	Facility		$1,125.19	$1,125.19	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,355.54 / $1,906.32 / $2,911.49	Facility		$1,355.54	$1,906.32	$2,911.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,703.22 / $2,776.06 / $10,883.58	Facility		$1,703.22	$2,776.06	$10,883.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,369.12 / $1,872.41 / $2,202.69	Professional		$1,369.12	$1,872.41	$2,202.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $413.86 / $413.86 / $413.86	Professional	AS	$413.86	$413.86	$413.86
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