Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.54 / $690.54 / $3,073.00	Facility		$690.54	$690.54	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $814.76 / $1,123.89 / $1,826.06	Facility		$814.76	$1,123.89	$1,826.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $1,855.22 / $5,090.60	Facility		$1,078.00	$1,855.22	$5,090.60
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $771.95 / $1,172.94 / $1,379.84	Professional		$771.95	$1,172.94	$1,379.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $259.44 / $259.44 / $259.44	Professional	AS	$259.44	$259.44	$259.44
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