Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.71 / $815.71 / $3,511.00	Facility		$815.71	$815.71	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,048.06 / $1,338.99 / $1,914.28	Facility		$1,048.06	$1,338.99	$1,914.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,117.48 / $1,939.40 / $3,711.03	Facility		$1,117.48	$1,939.40	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $810.58 / $1,224.22 / $1,493.63	Professional		$810.58	$1,224.22	$1,493.63
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $272.05 / $272.05 / $272.05	Professional	AS	$272.05	$272.05	$272.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00