Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,823.00 / $4,823.00 / $4,823.00	Facility		$4,823.00	$4,823.00	$4,823.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,048.00 / $1,497.28	Facility		$500.00	$1,048.00	$1,497.28
Sanford Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $515.00 / $1,149.00	Facility		$500.00	$515.00	$1,149.00
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