Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.81 / $3,359.25 / $3,359.25	Facility		$779.81	$3,359.25	$3,359.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $944.67 / $1,206.63 / $2,037.27	Facility		$944.67	$1,206.63	$2,037.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,327.02 / $1,925.20 / $10,695.65	Facility		$1,327.02	$1,925.20	$10,695.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $869.76 / $1,318.66 / $1,551.27	Professional		$869.76	$1,318.66	$1,551.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $289.16 / $289.16 / $289.16	Professional	AS	$289.16	$289.16	$289.16
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