Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.14 / $867.14 / $4,338.00	Facility		$867.14	$867.14	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,133.76 / $1,429.05 / $2,262.61	Facility		$1,133.76	$1,429.05	$2,262.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,139.69 / $20,290.04	Facility		$1,392.00	$2,139.69	$20,290.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,066.63 / $1,464.38 / $1,722.69	Professional		$1,066.63	$1,464.38	$1,722.69
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $321.20 / $321.20 / $321.20	Professional	AS	$321.20	$321.20	$321.20
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