Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,006.14 / $5,601.10 / $12,703.19	Facility		$1,006.14	$5,601.10	$12,703.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,212.22 / $1,635.13 / $2,667.49	Facility		$1,212.22	$1,635.13	$2,667.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,809.25 / $2,705.18 / $8,250.46	Facility		$1,809.25	$2,705.18	$8,250.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,255.39 / $1,699.74 / $1,999.57	Professional		$1,255.39	$1,699.74	$1,999.57
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $374.48 / $374.48 / $374.48	Professional	AS	$374.48	$374.48	$374.48
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