Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $625.00 / $1,087.00	Facility		$625.00	$625.00	$1,087.00
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 $1,087.00 / $1,087.00 / $1,087.00	Facility		$1,087.00	$1,087.00	$1,087.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $928.00 / $928.00 / $928.00	Facility		$928.00	$928.00	$928.00