Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $4,877.00 / $4,877.00	Facility		$1,580.00	$4,877.00	$4,877.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $397.00 / $465.00 / $1,149.00	Facility		$397.00	$465.00	$1,149.00
Sanford Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $1,600.00	Facility		$100.00	$100.00	$1,600.00
United Facility/Professional Facility Modifier Low / Median / High Price $397.00 / $465.00 / $1,048.00	Facility		$397.00	$465.00	$1,048.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $1,014.00 / $1,525.00	Facility		$541.00	$1,014.00	$1,525.00