Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.42 / $660.42 / $660.42	Facility		$660.42	$660.42	$660.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $843.82 / $1,066.41 / $1,599.05	Facility		$843.82	$1,066.41	$1,599.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,205.68 / $1,606.12 / $10,997.48	Facility		$1,205.68	$1,606.12	$10,997.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $755.14 / $1,038.22 / $1,289.27	Professional		$755.14	$1,038.22	$1,289.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $229.19 / $229.19 / $229.19	Professional	AS	$229.19	$229.19	$229.19
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