Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,494.25 / $2,494.25 / $2,494.25	Facility		$2,494.25	$2,494.25	$2,494.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,014.66 / $3,900.81 / $6,475.16	Facility		$2,014.66	$3,900.81	$6,475.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,453.00 / $5,523.65 / $7,572.02	Facility		$2,453.00	$5,523.65	$7,572.02
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,456.82 / $4,140.89 / $4,721.08	Professional		$2,456.82	$4,140.89	$4,721.08
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $921.02 / $921.02 / $921.02	Professional	AS	$921.02	$921.02	$921.02
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