Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.96 / $15,650.40 / $25,919.89	Facility		$720.96	$15,650.40	$25,919.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $872.62 / $1,123.53 / $1,876.56	Facility		$872.62	$1,123.53	$1,876.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,777.48 / $10,834.46	Facility		$1,089.00	$1,777.48	$10,834.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $833.82 / $1,215.83 / $1,430.30	Professional		$833.82	$1,215.83	$1,430.30
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $266.38 / $266.38 / $266.38	Professional	AS	$266.38	$266.38	$266.38
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