Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.90 / $689.90 / $3,073.00	Facility		$689.90	$689.90	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $903.30 / $1,165.93 / $1,796.79	Facility		$903.30	$1,165.93	$1,796.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,035.39 / $1,701.46 / $3,711.03	Facility		$1,035.39	$1,701.46	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $850.82 / $1,166.89 / $1,372.72	Professional		$850.82	$1,166.89	$1,372.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $255.45 / $255.45 / $255.45	Professional	AS	$255.45	$255.45	$255.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00