Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.04 / $1,384.04 / $1,384.04	Facility		$1,384.04	$1,384.04	$1,384.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,328.11 / $2,165.30 / $3,565.39	Facility		$1,328.11	$2,165.30	$3,565.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,356.00 / $3,041.20 / $4,169.26	Facility		$2,356.00	$3,041.20	$4,169.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,694.34 / $2,290.59 / $2,611.54	Professional		$1,694.34	$2,290.59	$2,611.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $505.74 / $505.74 / $505.74	Professional	AS	$505.74	$505.74	$505.74
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