Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.41 / $645.41 / $645.41	Facility		$645.41	$645.41	$645.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $844.39 / $1,089.24 / $1,669.12	Facility		$844.39	$1,089.24	$1,669.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,192.78 / $1,593.40 / $10,667.19	Facility		$1,192.78	$1,593.40	$10,667.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $790.70 / $1,087.78 / $1,284.74	Professional		$790.70	$1,087.78	$1,284.74
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $237.30 / $237.30 / $237.30	Professional	AS	$237.30	$237.30	$237.30
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