Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.71 / $364.71 / $3,511.00	Facility		$364.71	$364.71	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $428.39 / $506.27 / $994.57	Facility		$428.39	$506.27	$994.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $564.99 / $901.63 / $1,157.55	Facility		$564.99	$901.63	$1,157.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $472.44 / $636.05 / $725.17	Professional		$472.44	$636.05	$725.17
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $140.40 / $140.40 / $140.40	Professional	AS	$140.40	$140.40	$140.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00