Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.12 / $771.12 / $4,338.00	Facility		$771.12	$771.12	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $721.62 / $1,205.82 / $1,895.02	Facility		$721.62	$1,205.82	$1,895.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $863.00 / $1,630.86 / $2,243.14	Facility		$863.00	$1,630.86	$2,243.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $736.71 / $1,212.61 / $1,425.12	Professional		$736.71	$1,212.61	$1,425.12
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $268.19 / $268.19 / $268.19	Professional	AS	$268.19	$268.19	$268.19
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