Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,365.16 / $4,365.16	Facility		$794.33	$4,365.16	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $2,041.74	Facility		$1,071.52	$1,348.96	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,513.56	Professional		$954.99	$1,348.96	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	AS	$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28