Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.12 / $716.12 / $3,511.00	Facility		$716.12	$716.12	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $867.80 / $1,156.67 / $1,908.94	Facility		$867.80	$1,156.67	$1,908.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,330.47 / $1,802.85 / $2,824.47	Facility		$1,330.47	$1,802.85	$2,824.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $904.45 / $1,223.06 / $1,438.71	Professional		$904.45	$1,223.06	$1,438.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $271.02 / $271.02 / $271.02	Professional	AS	$271.02	$271.02	$271.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00