Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.73 / $571.73 / $3,073.00	Facility		$571.73	$571.73	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.93 / $858.86 / $1,537.76	Facility		$675.93	$858.86	$1,537.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $867.17 / $1,462.46 / $1,896.93	Facility		$867.17	$1,462.46	$1,896.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $739.92 / $1,037.66 / $1,220.70	Professional		$739.92	$1,037.66	$1,220.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $225.72 / $225.72 / $225.72	Professional	AS	$225.72	$225.72	$225.72
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