Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $824.36 / $824.36 / $824.36	Facility		$824.36	$824.36	$824.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,126.25 / $1,375.19 / $2,334.52	Facility		$1,126.25	$1,375.19	$2,334.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,323.56 / $2,133.21 / $2,760.39	Facility		$1,323.56	$2,133.21	$2,760.39
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,111.68 / $1,503.30 / $1,736.93	Professional		$1,111.68	$1,503.30	$1,736.93
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $330.86 / $330.86 / $330.86	Professional	AS	$330.86	$330.86	$330.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00