Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.41 / $810.41 / $4,338.00	Facility		$810.41	$810.41	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,062.52 / $1,369.59 / $2,118.98	Facility		$1,062.52	$1,369.59	$2,118.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,219.65 / $1,842.47 / $2,524.71	Facility		$1,219.65	$1,842.47	$2,524.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,003.13 / $1,372.00 / $1,614.02	Professional		$1,003.13	$1,372.00	$1,614.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $301.64 / $301.64 / $301.64	Professional	AS	$301.64	$301.64	$301.64
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