Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.18 / $407.18 / $407.18	Facility		$407.18	$407.18	$407.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.30 / $688.13 / $1,253.52	Facility		$516.30	$688.13	$1,253.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $686.00 / $1,213.47 / $3,079.87	Facility		$686.00	$1,213.47	$3,079.87
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $523.02 / $769.82 / $905.66	Professional		$523.02	$769.82	$905.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $168.84 / $168.84 / $168.84	Professional	AS	$168.84	$168.84	$168.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $6,897.94	Facility		$2,714.00	$2,714.00	$6,897.94