Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $723.05 / $3,511.00 / $13,592.81	Facility		$723.05	$3,511.00	$13,592.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $904.66 / $1,190.33 / $1,877.12	Facility		$904.66	$1,190.33	$1,877.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,780.58 / $8,250.46	Facility		$1,089.00	$1,780.58	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $886.43 / $1,218.03 / $1,432.88	Professional		$886.43	$1,218.03	$1,432.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $266.51 / $266.51 / $266.51	Professional	AS	$266.51	$266.51	$266.51
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00