Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.84 / $501.84 / $501.84	Facility		$501.84	$501.84	$501.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $654.08 / $853.99 / $1,295.36	Facility		$654.08	$853.99	$1,295.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $922.63 / $1,312.21 / $3,711.03	Facility		$922.63	$1,312.21	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $547.54 / $825.86 / $991.05	Professional		$547.54	$825.86	$991.05
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $180.94 / $180.94 / $180.94	Professional	AS	$180.94	$180.94	$180.94
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