Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.26 / $643.26 / $3,073.00	Facility		$643.26	$643.26	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $1,087.10 / $1,953.03	Facility		$657.14	$1,087.10	$1,953.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,061.46 / $1,700.57 / $3,285.23	Facility		$1,061.46	$1,700.57	$3,285.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $816.12 / $1,152.85 / $1,348.79	Professional		$816.12	$1,152.85	$1,348.79
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $254.42 / $254.42 / $254.42	Professional	AS	$254.42	$254.42	$254.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00