Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.48 / $490.48 / $490.48	Facility		$490.48	$490.48	$490.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $639.48 / $813.44 / $1,251.07	Facility		$639.48	$813.44	$1,251.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $905.29 / $1,285.00 / $3,711.03	Facility		$905.29	$1,285.00	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $592.16 / $815.24 / $976.82	Professional		$592.16	$815.24	$976.82
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