Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.78 / $5,660.68 / $12,959.98	Facility		$526.78	$5,660.68	$12,959.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $688.57 / $903.36 / $1,357.74	Facility		$688.57	$903.36	$1,357.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $970.78 / $1,294.97 / $3,711.03	Facility		$970.78	$1,294.97	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $639.72 / $885.89 / $1,042.16	Professional		$639.72	$885.89	$1,042.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $192.65 / $192.65 / $192.65	Professional	AS	$192.65	$192.65	$192.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00