Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $249.95 / $3,511.00	Facility		$249.95	$249.95	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $293.94 / $347.38 / $682.17	Facility		$293.94	$347.38	$682.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $387.84 / $621.84 / $782.13	Facility		$387.84	$621.84	$782.13
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $431.29 / $488.41	Professional		$323.00	$431.29	$488.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $95.87 / $95.87 / $95.87	Professional	AS	$95.87	$95.87	$95.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00