Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.67 / $591.67 / $4,338.00	Facility		$591.67	$591.67	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.97 / $999.94 / $1,520.83	Facility		$759.97	$999.94	$1,520.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,092.32 / $1,457.59 / $3,711.03	Facility		$1,092.32	$1,457.59	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $668.78 / $991.03 / $1,172.18	Professional		$668.78	$991.03	$1,172.18
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $216.20 / $216.20 / $216.20	Professional	AS	$216.20	$216.20	$216.20
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