Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.24 / $801.24 / $3,511.00	Facility		$801.24	$801.24	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,051.14 / $1,390.89 / $2,094.86	Facility		$1,051.14	$1,390.89	$2,094.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,209.57 / $2,128.94 / $11,090.03	Facility		$1,209.57	$2,128.94	$11,090.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $988.98 / $1,351.10 / $1,589.43	Professional		$988.98	$1,351.10	$1,589.43
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $297.52 / $297.52 / $297.52	Professional	AS	$297.52	$297.52	$297.52
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