Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.36 / $858.36 / $3,511.00	Facility		$858.36	$858.36	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,121.42 / $1,411.71 / $2,159.89	Facility		$1,121.42	$1,411.71	$2,159.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,243.45 / $2,106.96 / $8,250.46	Facility		$1,243.45	$2,106.96	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,022.44 / $1,405.73 / $1,691.64	Professional		$1,022.44	$1,405.73	$1,691.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $308.72 / $308.72 / $308.72	Professional	AS	$308.72	$308.72	$308.72
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