Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $763.00	Facility		$500.00	$500.00	$763.00
Sanford Health Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $190.00 / $1,203.27	Facility		$100.00	$190.00	$1,203.27
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $763.00	Facility		$500.00	$500.00	$763.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $809.00 / $809.00	Facility		$809.00	$809.00	$809.00