Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.32 / $1,066.32 / $1,066.32	Facility		$1,066.32	$1,066.32	$1,066.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,137.08 / $1,509.83 / $2,871.52	Facility		$1,137.08	$1,509.83	$2,871.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,631.76 / $2,593.39 / $3,358.98	Facility		$1,631.76	$2,593.39	$3,358.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,366.61 / $1,848.52 / $2,107.60	Professional		$1,366.61	$1,848.52	$2,107.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $406.65 / $406.65 / $406.65	Professional	AS	$406.65	$406.65	$406.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00