Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.62 / $824.62 / $824.62	Facility		$824.62	$824.62	$824.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,080.33 / $1,393.61 / $2,133.69	Facility		$1,080.33	$1,393.61	$2,133.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $2,035.05 / $8,250.46	Facility		$1,285.00	$2,035.05	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,010.42 / $1,389.21 / $1,640.54	Professional		$1,010.42	$1,389.21	$1,640.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $305.25 / $305.25 / $305.25	Professional	AS	$305.25	$305.25	$305.25
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