Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $4,365.16	Facility		$645.65	$645.65	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,698.24	Facility		$851.14	$1,096.48	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,479.11	Professional		$1,348.96	$1,479.11	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,288.25	Professional		$758.58	$1,096.48	$1,288.25
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	AS	$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32