Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.67 / $550.67 / $550.67	Facility		$550.67	$550.67	$550.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $644.91 / $826.01 / $1,456.94	Facility		$644.91	$826.01	$1,456.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $944.00 / $1,541.06 / $4,042.88	Facility		$944.00	$1,541.06	$4,042.88
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $626.60 / $996.95 / $1,175.42	Professional		$626.60	$996.95	$1,175.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $214.65 / $214.65 / $214.65	Professional	AS	$214.65	$214.65	$214.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00