Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.20 / $791.20 / $791.20	Facility		$791.20	$791.20	$791.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $934.12 / $1,337.13 / $2,118.04	Facility		$934.12	$1,337.13	$2,118.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,208.24 / $1,928.34 / $2,486.12	Facility		$1,208.24	$1,928.34	$2,486.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,011.54 / $1,362.89 / $1,569.38	Professional		$1,011.54	$1,362.89	$1,569.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $301.00 / $301.00 / $301.00	Professional	AS	$301.00	$301.00	$301.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00