Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.10 / $1,750.10 / $1,750.10	Facility		$1,750.10	$1,750.10	$1,750.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,864.94 / $3,042.24 / $5,119.33	Facility		$1,864.94	$3,042.24	$5,119.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,924.80 / $4,375.88 / $6,078.69	Facility		$2,924.80	$4,375.88	$6,078.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,420.64 / $3,298.44 / $3,827.71	Professional		$2,420.64	$3,298.44	$3,827.71
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $727.09 / $727.09 / $727.09	Professional	AS	$727.09	$727.09	$727.09
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