Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.41 / $834.41 / $4,338.00	Facility		$834.41	$834.41	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,095.25 / $1,409.21 / $2,195.76	Facility		$1,095.25	$1,409.21	$2,195.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,392.00 / $2,064.94 / $19,917.50	Facility		$1,392.00	$2,064.94	$19,917.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,038.74 / $1,414.89 / $1,664.47	Professional		$1,038.74	$1,414.89	$1,664.47
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $311.04 / $311.04 / $311.04	Professional	AS	$311.04	$311.04	$311.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00