Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.17 / $656.17 / $656.17	Facility		$656.17	$656.17	$656.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $857.96 / $1,079.83 / $1,696.70	Facility		$857.96	$1,079.83	$1,696.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,211.16 / $1,617.26 / $8,250.46	Facility		$1,211.16	$1,617.26	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $803.63 / $1,104.88 / $1,302.21	Professional		$803.63	$1,104.88	$1,302.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $240.78 / $240.78 / $240.78	Professional	AS	$240.78	$240.78	$240.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00