Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $500.00 / $523.00	Facility		$407.00	$500.00	$523.00
Sanford Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $105.21 / $533.40	Facility		$100.00	$105.21	$533.40
United Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $500.00 / $523.00	Facility		$407.00	$500.00	$523.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $190.00 / $190.00	Facility		$190.00	$190.00	$190.00