Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $4,365.16	Facility		$776.25	$776.25	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,089.30	Facility		$1,023.29	$1,318.26	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $1,819.70	Professional		$1,621.81	$1,819.70	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,548.82	Professional		$954.99	$1,318.26	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	AS	$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32