Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.77 / $690.77 / $690.77	Facility		$690.77	$690.77	$690.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.36 / $1,178.23 / $1,792.93	Facility		$905.36	$1,178.23	$1,792.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,275.45 / $1,703.25 / $22,335.69	Facility		$1,275.45	$1,703.25	$22,335.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $846.53 / $1,158.08 / $1,362.37	Professional		$846.53	$1,158.08	$1,362.37
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $254.80 / $254.80 / $254.80	Professional	AS	$254.80	$254.80	$254.80
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