Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,802.35 / $1,802.35 / $1,802.35	Facility		$1,802.35	$1,802.35	$1,802.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,011.21 / $3,045.97 / $5,073.97	Facility		$2,011.21	$3,045.97	$5,073.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,853.65 / $4,659.29 / $6,147.51	Facility		$2,853.65	$4,659.29	$6,147.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,510.05 / $3,401.71 / $3,931.21	Professional		$2,510.05	$3,401.71	$3,931.21
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $746.91 / $746.91 / $746.91	Professional	AS	$746.91	$746.91	$746.91
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