Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.95 / $571.95 / $571.95	Facility		$571.95	$571.95	$571.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $747.22 / $976.63 / $1,465.34	Facility		$747.22	$976.63	$1,465.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,054.80 / $1,504.27 / $3,711.03	Facility		$1,054.80	$1,504.27	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $654.70 / $949.15 / $1,131.43	Professional		$654.70	$949.15	$1,131.43
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $208.35 / $208.35 / $208.35	Professional	AS	$208.35	$208.35	$208.35
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