Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.19 / $737.19 / $4,338.00	Facility		$737.19	$737.19	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.00 / $1,245.84 / $1,943.97	Facility		$891.00	$1,245.84	$1,943.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,116.61 / $1,685.96 / $2,315.11	Facility		$1,116.61	$1,685.96	$2,315.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $919.90 / $1,249.36 / $1,469.76	Professional		$919.90	$1,249.36	$1,469.76
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $276.04 / $276.04 / $276.04	Professional	AS	$276.04	$276.04	$276.04
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