Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.87 / $683.87 / $3,511.00	Facility		$683.87	$683.87	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $828.85 / $1,089.93 / $1,803.54	Facility		$828.85	$1,089.93	$1,803.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,267.97 / $1,802.85 / $2,824.47	Facility		$1,267.97	$1,802.85	$2,824.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $861.70 / $1,169.64 / $1,375.96	Professional		$861.70	$1,169.64	$1,375.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.89 / $257.89 / $257.89	Professional	AS	$257.89	$257.89	$257.89
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