Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.09 / $449.09 / $449.09	Facility		$449.09	$449.09	$449.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.62 / $758.96 / $1,202.96	Facility		$588.62	$758.96	$1,202.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $839.26 / $1,191.93 / $3,711.03	Facility		$839.26	$1,191.93	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $556.05 / $765.28 / $892.08	Professional		$556.05	$765.28	$892.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $167.29 / $167.29 / $167.29	Professional	AS	$167.29	$167.29	$167.29
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