Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,105.33 / $2,105.33 / $2,105.33	Facility		$2,105.33	$2,105.33	$2,105.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,031.80 / $3,293.79 / $5,512.60	Facility		$2,031.80	$3,293.79	$5,512.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,708.00 / $4,684.07 / $6,400.92	Facility		$2,708.00	$4,684.07	$6,400.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,619.82 / $3,500.29 / $3,990.73	Professional		$2,619.82	$3,500.29	$3,990.73
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $780.75 / $780.75 / $780.75	Professional	AS	$780.75	$780.75	$780.75
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