Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $713.22 / $713.22 / $3,511.00	Facility		$713.22	$713.22	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $868.68 / $1,209.44 / $1,892.01	Facility		$868.68	$1,209.44	$1,892.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,087.83 / $1,639.94 / $2,244.19	Facility		$1,087.83	$1,639.94	$2,244.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $830.90 / $1,217.48 / $1,432.24	Professional		$830.90	$1,217.48	$1,432.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $267.67 / $267.67 / $267.67	Professional	AS	$267.67	$267.67	$267.67
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00