Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.22 / $584.22 / $584.22	Facility		$584.22	$584.22	$584.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $763.56 / $960.98 / $1,501.10	Facility		$763.56	$960.98	$1,501.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,078.76 / $1,439.07 / $3,711.03	Facility		$1,078.76	$1,439.07	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.49 / $972.75 / $1,157.95	Professional		$654.49	$972.75	$1,157.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $213.49 / $213.49 / $213.49	Professional	AS	$213.49	$213.49	$213.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00