Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.09 / $249.09 / $249.09	Facility		$249.09	$249.09	$249.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.25 / $420.96 / $731.92	Facility		$304.25	$420.96	$731.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $407.67 / $649.13 / $868.68	Facility		$407.67	$649.13	$868.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $362.18 / $487.34 / $551.80	Professional		$362.18	$487.34	$551.80
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $107.58 / $107.58 / $107.58	Professional	AS	$107.58	$107.58	$107.58
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