Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,611.22 / $1,611.22 / $4,338.00	Facility		$1,611.22	$1,611.22	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,126.61 / $2,668.78 / $4,351.87	Facility		$2,126.61	$2,668.78	$4,351.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,500.42 / $3,727.14 / $5,092.16	Facility		$2,500.42	$3,727.14	$5,092.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,037.90 / $2,784.38 / $3,233.85	Professional		$2,037.90	$2,784.38	$3,233.85
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $617.05 / $617.05 / $617.05	Professional	AS	$617.05	$617.05	$617.05
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