Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.67 / $752.67 / $3,511.00	Facility		$752.67	$752.67	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.66 / $1,162.83 / $1,941.34	Facility		$914.66	$1,162.83	$1,941.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,120.83 / $1,856.34 / $8,250.46	Facility		$1,120.83	$1,856.34	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $856.25 / $1,264.16 / $1,491.75	Professional		$856.25	$1,264.16	$1,491.75
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.64 / $275.64 / $275.64	Professional	AS	$275.64	$275.64	$275.64
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00