Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.47 / $662.47 / $662.47	Facility		$662.47	$662.47	$662.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $864.42 / $1,088.58 / $1,696.31	Facility		$864.42	$1,088.58	$1,696.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,221.02 / $1,628.75 / $8,250.46	Facility		$1,221.02	$1,628.75	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $803.20 / $1,104.29 / $1,313.21	Professional		$803.20	$1,104.29	$1,313.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $241.68 / $241.68 / $241.68	Professional	AS	$241.68	$241.68	$241.68
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