Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.92 / $1,690.92 / $1,690.92	Facility		$1,690.92	$1,690.92	$1,690.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,262.60 / $2,673.99 / $4,941.97	Facility		$2,262.60	$2,673.99	$4,941.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,845.13 / $4,633.22 / $5,817.97	Facility		$2,845.13	$4,633.22	$5,817.97
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,169.71 / $3,162.09 / $3,667.92	Professional		$2,169.71	$3,162.09	$3,667.92
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $708.56 / $708.56 / $708.56	Professional	AS	$708.56	$708.56	$708.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00