Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $642.88 / $642.88	Facility		$642.88	$642.88	$642.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $854.20 / $1,086.47 / $1,785.01	Facility		$854.20	$1,086.47	$1,785.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,017.88 / $1,525.18 / $2,091.92	Facility		$1,017.88	$1,525.18	$2,091.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $836.39 / $1,148.22 / $1,313.21	Professional		$836.39	$1,148.22	$1,313.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $253.64 / $253.64 / $253.64	Professional	AS	$253.64	$253.64	$253.64
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