Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.17 / $816.17 / $4,338.00	Facility		$816.17	$816.17	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,070.15 / $1,401.16 / $2,144.26	Facility		$1,070.15	$1,401.16	$2,144.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,065.17 / $8,250.46	Facility		$1,392.00	$2,065.17	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,015.57 / $1,378.60 / $1,621.78	Professional		$1,015.57	$1,378.60	$1,621.78
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $304.22 / $304.22 / $304.22	Professional	AS	$304.22	$304.22	$304.22
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00