Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.77 / $1,228.77 / $4,338.00	Facility		$1,228.77	$1,228.77	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.51 / $2,076.62 / $3,319.70	Facility		$1,621.51	$2,076.62	$3,319.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,902.74 / $2,864.44 / $3,875.19	Facility		$1,902.74	$2,864.44	$3,875.19
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,551.35 / $2,122.94 / $2,458.21	Professional		$1,551.35	$2,122.94	$2,458.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $469.58 / $469.58 / $469.58	Professional	AS	$469.58	$469.58	$469.58
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