Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.69 / $7,994.80 / $8,647.81	Facility		$728.69	$7,994.80	$8,647.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $910.04 / $1,492.26 / $3,077.93	Facility		$910.04	$1,492.26	$3,077.93
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,054.54 / $1,054.54 / $4,796.97	Facility	50	$1,054.54	$1,054.54	$4,796.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,502.00 / $1,984.02 / $6,155.66	Facility		$1,502.00	$1,984.02	$6,155.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,058.98 / $1,422.80 / $1,532.89	Professional		$1,058.98	$1,422.80	$1,532.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $341.41 / $341.41 / $341.41	Professional	AS	$341.41	$341.41	$341.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00