Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.64 / $867.64 / $4,338.00	Facility		$867.64	$867.64	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,138.95 / $1,466.31 / $2,288.32	Facility		$1,138.95	$1,466.31	$2,288.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,604.16 / $2,318.35 / $10,915.61	Facility		$1,604.16	$2,318.35	$10,915.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,081.55 / $1,466.03 / $1,724.64	Professional		$1,081.55	$1,466.03	$1,724.64
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $324.16 / $324.16 / $324.16	Professional	AS	$324.16	$324.16	$324.16
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