Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,748.82 / $2,748.82 / $2,748.82	Facility		$2,748.82	$2,748.82	$2,748.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,646.87 / $4,301.39 / $7,171.75	Facility		$2,646.87	$4,301.39	$7,171.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4,315.00 / $6,106.89 / $8,353.10	Facility		$4,315.00	$6,106.89	$8,353.10
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,408.42 / $4,560.18 / $5,199.14	Professional		$3,408.42	$4,560.18	$5,199.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $1,017.15 / $1,017.15 / $1,017.15	Professional	AS	$1,017.15	$1,017.15	$1,017.15
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