Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $498.00 / $3,073.00	Facility		$498.00	$498.00	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $609.72 / $839.86 / $1,320.94	Facility		$609.72	$839.86	$1,320.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,049.00 / $1,390.28 / $40,148.01	Facility		$1,049.00	$1,390.28	$40,148.01
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.55 / $894.07 / $1,055.08	Professional		$645.55	$894.07	$1,055.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $192.65 / $192.65 / $192.65	Professional	AS	$192.65	$192.65	$192.65
United Facility/Professional Facility Modifier Low / Median / High Price $7,865.00 / $7,865.00 / $7,865.00	Facility		$7,865.00	$7,865.00	$7,865.00