Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $947.64 / $947.64 / $4,338.00	Facility		$947.64	$947.64	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,246.34 / $1,565.84 / $2,508.39	Facility		$1,246.34	$1,565.84	$2,508.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,425.91 / $2,174.25 / $2,977.29	Facility		$1,425.91	$2,174.25	$2,977.29
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,171.83 / $1,608.31 / $1,882.48	Professional		$1,171.83	$1,608.31	$1,882.48
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $356.34 / $356.34 / $356.34	Professional	AS	$356.34	$356.34	$356.34
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