Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.69 / $487.69 / $3,073.00	Facility		$487.69	$487.69	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $626.98 / $821.15 / $1,254.51	Facility		$626.98	$821.15	$1,254.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $897.54 / $1,197.73 / $3,711.03	Facility		$897.54	$1,197.73	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.80 / $815.83 / $965.82	Professional		$549.80	$815.83	$965.82
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $177.85 / $177.85 / $177.85	Professional	AS	$177.85	$177.85	$177.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00