Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.87 / $3,343.28 / $3,359.25	Facility		$889.87	$3,343.28	$3,359.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,167.38 / $1,499.10 / $2,328.63	Facility		$1,167.38	$1,499.10	$2,328.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,339.16 / $2,199.51 / $20,916.79	Facility		$1,339.16	$2,199.51	$20,916.79
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,102.68 / $1,505.63 / $1,771.21	Professional		$1,102.68	$1,505.63	$1,771.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $331.11 / $331.11 / $331.11	Professional	AS	$331.11	$331.11	$331.11
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