Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.07 / $590.07 / $3,511.00	Facility		$590.07	$590.07	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $770.93 / $991.76 / $1,509.90	Facility		$770.93	$991.76	$1,509.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,085.17 / $1,448.74 / $8,250.46	Facility		$1,085.17	$1,448.74	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $714.80 / $982.77 / $1,166.35	Professional		$714.80	$982.77	$1,166.35
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $215.55 / $215.55 / $215.55	Professional	AS	$215.55	$215.55	$215.55
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