Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.97 / $815.97 / $4,338.00	Facility		$815.97	$815.97	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,068.74 / $1,360.27 / $2,119.08	Facility		$1,068.74	$1,360.27	$2,119.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,012.20 / $10,457.19	Facility		$1,392.00	$2,012.20	$10,457.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,004.86 / $1,374.20 / $1,616.60	Professional		$1,004.86	$1,374.20	$1,616.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $301.64 / $301.64 / $301.64	Professional	AS	$301.64	$301.64	$301.64
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