Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $4,365.16	Facility		$1,000.00	$1,000.00	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $2,691.53	Facility		$1,348.96	$1,698.24	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,238.72	Professional		$2,137.96	$2,137.96	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $1,905.46	Professional		$1,258.93	$1,698.24	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	AS	$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32