Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.02 / $1,007.02 / $1,007.02	Facility		$1,007.02	$1,007.02	$1,007.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,220.44 / $1,661.74 / $2,642.44	Facility		$1,220.44	$1,661.74	$2,642.44
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,519.51 / $2,289.51 / $3,153.53	Facility		$1,519.51	$2,289.51	$3,153.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,250.70 / $1,708.54 / $2,009.92	Professional		$1,250.70	$1,708.54	$2,009.92
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $375.25 / $375.25 / $375.25	Professional	AS	$375.25	$375.25	$375.25
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