Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.51 / $551.51 / $3,511.00	Facility		$551.51	$551.51	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $668.30 / $870.25 / $1,425.13	Facility		$668.30	$870.25	$1,425.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,018.09 / $1,244.52 / $1,693.58	Facility		$1,018.09	$1,244.52	$1,693.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $674.40 / $929.88 / $1,093.91	Professional		$674.40	$929.88	$1,093.91
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $202.56 / $202.56 / $202.56	Professional	AS	$202.56	$202.56	$202.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $3,240.48	Facility		$2,714.00	$2,714.00	$3,240.48