Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,999.00 / $6,999.00 / $6,999.00	Facility		$6,999.00	$6,999.00	$6,999.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $1,149.00	Facility		$500.00	$500.00	$1,149.00
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 / $500.00 / $1,149.00	Facility		$500.00	$500.00	$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