Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.22 / $1,222.22 / $1,222.22	Facility		$1,222.22	$1,222.22	$1,222.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,636.91 / $2,000.00 / $3,600.22	Facility		$1,636.91	$2,000.00	$3,600.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,072.42 / $3,351.26 / $4,199.47	Facility		$2,072.42	$3,351.26	$4,199.47
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,611.08 / $2,301.65 / $2,656.17	Professional		$1,611.08	$2,301.65	$2,656.17
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $514.49 / $514.49 / $514.49	Professional	AS	$514.49	$514.49	$514.49
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