Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.17 / $1,376.17 / $1,376.17	Facility		$1,376.17	$1,376.17	$1,376.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,684.80 / $2,000.00 / $3,852.42	Facility		$1,684.80	$2,000.00	$3,852.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,162.65 / $3,546.83 / $4,671.89	Facility		$2,162.65	$3,546.83	$4,671.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,902.00 / $2,585.94 / $2,990.62	Professional		$1,902.00	$2,585.94	$2,990.62
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $565.97 / $565.97 / $565.97	Professional	AS	$565.97	$565.97	$565.97
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