Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $938.00 / $938.00	Facility		$938.00	$938.00	$938.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,020.09 / $1,585.22 / $2,716.53	Facility		$1,020.09	$1,585.22	$2,716.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,548.12 / $2,327.05 / $3,250.53	Facility		$1,548.12	$2,327.05	$3,250.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.48 / $1,747.56 / $2,046.14	Professional		$1,202.48	$1,747.56	$2,046.14
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $387.09 / $387.09 / $387.09	Professional	AS	$387.09	$387.09	$387.09
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