Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.47 / $1,229.47 / $1,229.47	Facility		$1,229.47	$1,229.47	$1,229.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,185.83 / $1,905.48 / $3,315.07	Facility		$1,185.83	$1,905.48	$3,315.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,195.00 / $2,771.24 / $3,771.93	Facility		$2,195.00	$2,771.24	$3,771.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,554.73 / $2,039.24 / $2,324.96	Professional		$1,554.73	$2,039.24	$2,324.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $462.63 / $462.63 / $462.63	Professional	AS	$462.63	$462.63	$462.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00