Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.72 / $5,383.76 / $8,266.27	Facility		$659.72	$5,383.76	$8,266.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $842.93 / $1,114.93 / $1,731.72	Facility		$842.93	$1,114.93	$1,731.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,629.97 / $3,711.03	Facility		$1,089.00	$1,629.97	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $818.59 / $1,116.30 / $1,313.21	Professional		$818.59	$1,116.30	$1,313.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $245.28 / $245.28 / $245.28	Professional	AS	$245.28	$245.28	$245.28
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