Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.05 / $501.05 / $3,511.00	Facility		$501.05	$501.05	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $652.85 / $846.77 / $1,266.36	Facility		$652.85	$846.77	$1,266.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $922.37 / $1,229.32 / $3,711.03	Facility		$922.37	$1,229.32	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $597.25 / $821.14 / $989.11	Professional		$597.25	$821.14	$989.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $180.29 / $180.29 / $180.29	Professional	AS	$180.29	$180.29	$180.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00