Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.17 / $681.17 / $4,338.00	Facility		$681.17	$681.17	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $892.53 / $1,147.20 / $1,775.53	Facility		$892.53	$1,147.20	$1,775.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,257.94 / $1,679.92 / $22,556.29	Facility		$1,257.94	$1,679.92	$22,556.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $839.66 / $1,151.49 / $1,354.61	Professional		$839.66	$1,151.49	$1,354.61
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $252.23 / $252.23 / $252.23	Professional	AS	$252.23	$252.23	$252.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00