Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.29 / $993.29 / $3,511.00	Facility		$993.29	$993.29	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,205.02 / $1,617.58 / $2,568.07	Facility		$1,205.02	$1,617.58	$2,568.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,486.66 / $2,447.17 / $8,250.46	Facility		$1,486.66	$2,447.17	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,105.01 / $1,667.65 / $1,970.46	Professional		$1,105.01	$1,667.65	$1,970.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $364.44 / $364.44 / $364.44	Professional	AS	$364.44	$364.44	$364.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $14,287.46	Facility		$4,500.00	$4,500.00	$14,287.46