Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.37 / $627.37 / $3,511.00	Facility		$627.37	$627.37	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $819.46 / $1,154.52 / $1,612.04	Facility		$819.46	$1,154.52	$1,612.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,637.74 / $3,711.03	Facility		$1,089.00	$1,637.74	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,058.65 / $1,419.95	Professional		$760.72	$1,058.65	$1,419.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $228.94 / $228.94 / $228.94	Professional	AS	$228.94	$228.94	$228.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $6,489.22	Facility		$3,143.00	$3,143.00	$6,489.22