Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.48 / $719.48 / $719.48	Facility		$719.48	$719.48	$719.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $942.41 / $1,242.25 / $1,871.60	Facility		$942.41	$1,242.25	$1,871.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,892.92 / $3,711.03	Facility		$1,285.00	$1,892.92	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $883.08 / $1,214.18 / $1,428.36	Professional		$883.08	$1,214.18	$1,428.36
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $265.61 / $265.61 / $265.61	Professional	AS	$265.61	$265.61	$265.61
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00