Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.16 / $864.16 / $3,073.00	Facility		$864.16	$864.16	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,113.10 / $1,432.95 / $2,058.11	Facility		$1,113.10	$1,432.95	$2,058.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,197.21 / $2,062.77 / $3,711.03	Facility		$1,197.21	$2,062.77	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $868.84 / $1,339.07 / $1,636.66	Professional		$868.84	$1,339.07	$1,636.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $292.25 / $292.25 / $292.25	Professional	AS	$292.25	$292.25	$292.25
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