Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.28 / $1,074.28 / $1,074.28	Facility		$1,074.28	$1,074.28	$1,074.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.41 / $1,774.52 / $2,833.40	Facility		$1,412.41	$1,774.52	$2,833.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,628.76 / $2,659.86 / $21,106.43	Facility		$1,628.76	$2,659.86	$21,106.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,339.51 / $1,814.12 / $2,134.12	Professional		$1,339.51	$1,814.12	$2,134.12
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $401.89 / $401.89 / $401.89	Professional	AS	$401.89	$401.89	$401.89
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