Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.37 / $638.37 / $27,034.77	Facility		$638.37	$638.37	$27,034.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $828.05 / $1,078.84 / $1,622.01	Facility		$828.05	$1,078.84	$1,622.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,176.05 / $1,674.91 / $11,401.10	Facility		$1,176.05	$1,674.91	$11,401.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $765.43 / $1,052.38 / $1,264.04	Professional		$765.43	$1,052.38	$1,264.04
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $231.12 / $231.12 / $231.12	Professional	AS	$231.12	$231.12	$231.12
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