Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.89 / $5,383.76 / $5,383.76	Facility		$499.89	$5,383.76	$5,383.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $657.47 / $844.81 / $1,335.86	Facility		$657.47	$844.81	$1,335.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $921.66 / $1,239.89 / $3,711.03	Facility		$921.66	$1,239.89	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $848.25 / $973.58	Professional		$612.16	$848.25	$973.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $186.34 / $186.34 / $186.34	Professional	AS	$186.34	$186.34	$186.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00