Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $4,365.16	Facility		$758.58	$758.58	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,995.26	Facility		$1,000.00	$1,288.25	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,737.80	Professional		$1,584.89	$1,737.80	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,513.56	Professional		$870.96	$1,288.25	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	AS	$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28