Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.80 / $1,010.80 / $1,010.80	Facility		$1,010.80	$1,010.80	$1,010.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,244.92 / $1,708.25 / $2,667.66	Facility		$1,244.92	$1,708.25	$2,667.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $2,365.31 / $3,093.05	Facility		$1,830.00	$2,365.31	$3,093.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,256.33 / $1,682.34 / $1,918.06	Professional		$1,256.33	$1,682.34	$1,918.06
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $373.84 / $373.84 / $373.84	Professional	AS	$373.84	$373.84	$373.84
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