Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.01 / $1,615.01 / $1,615.01	Facility		$1,615.01	$1,615.01	$1,615.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,703.72 / $2,729.37 / $4,703.35	Facility		$1,703.72	$2,729.37	$4,703.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,699.81 / $4,052.07 / $5,446.70	Facility		$2,699.81	$4,052.07	$5,446.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,953.32 / $2,993.25 / $3,414.99	Professional		$1,953.32	$2,993.25	$3,414.99
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $662.74 / $662.74 / $662.74	Professional	AS	$662.74	$662.74	$662.74
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