Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.88 / $620.88 / $4,338.00	Facility		$620.88	$620.88	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $780.97 / $1,040.58 / $1,624.18	Facility		$780.97	$1,040.58	$1,624.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,146.27 / $1,530.83 / $3,711.03	Facility		$1,146.27	$1,530.83	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $769.19 / $1,048.10 / $1,232.99	Professional		$769.19	$1,048.10	$1,232.99
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $230.22 / $230.22 / $230.22	Professional	AS	$230.22	$230.22	$230.22
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