Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $974.23 / $974.23 / $974.23	Facility		$974.23	$974.23	$974.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.50 / $1,646.45 / $2,647.54	Facility		$1,200.50	$1,646.45	$2,647.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,766.00 / $2,275.62 / $2,983.54	Facility		$1,766.00	$2,275.62	$2,983.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.36 / $1,616.52 / $1,843.02	Professional		$1,230.36	$1,616.52	$1,843.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $366.12 / $366.12 / $366.12	Professional	AS	$366.12	$366.12	$366.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00