Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.27 / $693.27 / $3,511.00	Facility		$693.27	$693.27	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $667.65 / $1,171.63 / $1,842.19	Facility		$667.65	$1,171.63	$1,842.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,247.00 / $1,709.95 / $4,514.33	Facility		$1,247.00	$1,709.95	$4,514.33
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $869.70 / $1,150.11 / $1,311.27	Professional		$869.70	$1,150.11	$1,311.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $258.79 / $258.79 / $258.79	Professional	AS	$258.79	$258.79	$258.79
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