Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.22 / $1,216.22 / $1,216.22	Facility		$1,216.22	$1,216.22	$1,216.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,601.41 / $2,088.42 / $3,248.58	Facility		$1,601.41	$2,088.42	$3,248.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,868.31 / $3,181.97 / $33,360.18	Facility		$1,868.31	$3,181.97	$33,360.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,525.39 / $2,077.69 / $2,528.40	Professional		$1,525.39	$2,077.69	$2,528.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $459.80 / $459.80 / $459.80	Professional	AS	$459.80	$459.80	$459.80
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