Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,027.06 / $1,027.06 / $4,338.00	Facility		$1,027.06	$1,027.06	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,238.21 / $1,480.56 / $2,149.28	Facility		$1,238.21	$1,480.56	$2,149.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,796.00 / $2,596.11 / $33,113.99	Facility		$1,796.00	$2,596.11	$33,113.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,216.79 / $1,777.28 / $2,090.78	Professional		$1,216.79	$1,777.28	$2,090.78
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $363.03 / $363.03 / $363.03	Professional	AS	$363.03	$363.03	$363.03
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