Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,365.16 / $4,897.79	Facility		$776.25	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,949.84	Facility		$851.14	$1,071.52	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,412.54	Professional		$676.08	$1,230.27	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	AS	$275.42	$275.42	$275.42
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