Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $740.15 / $740.15 / $740.15	Facility		$740.15	$740.15	$740.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $969.64 / $1,219.67 / $1,924.90	Facility		$969.64	$1,219.67	$1,924.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,285.00 / $1,828.63 / $8,250.46	Facility		$1,285.00	$1,828.63	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $909.60 / $1,250.47 / $1,471.05	Professional		$909.60	$1,250.47	$1,471.05
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $273.85 / $273.85 / $273.85	Professional	AS	$273.85	$273.85	$273.85
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00