Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.12 / $914.12 / $914.12	Facility		$914.12	$914.12	$914.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $974.77 / $1,544.86 / $2,693.36	Facility		$974.77	$1,544.86	$2,693.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,544.15 / $2,306.67 / $3,076.35	Facility		$1,544.15	$2,306.67	$3,076.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,224.74 / $1,698.23 / $1,936.17	Professional		$1,224.74	$1,698.23	$1,936.17
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $375.25 / $375.25 / $375.25	Professional	AS	$375.25	$375.25	$375.25
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