Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.83 / $442.83 / $3,073.00	Facility		$442.83	$442.83	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $445.70 / $619.74 / $1,168.08	Facility		$445.70	$619.74	$1,168.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $785.22 / $1,167.49 / $3,614.42	Facility		$785.22	$1,167.49	$3,614.42
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $544.91 / $771.10 / $879.14	Professional		$544.91	$771.10	$879.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $162.15 / $162.15 / $162.15	Professional	AS	$162.15	$162.15	$162.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00