Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $164.79 / $2,290.00	Facility		$164.79	$164.79	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.95 / $278.50 / $513.41	Facility		$184.95	$278.50	$513.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $281.52 / $421.60 / $585.03	Facility		$281.52	$421.60	$585.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $232.97 / $318.31 / $362.91	Professional		$232.97	$318.31	$362.91
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $70.39 / $70.39 / $70.39	Professional	AS	$70.39	$70.39	$70.39
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00