Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.82 / $368.82 / $3,073.00	Facility		$368.82	$368.82	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $494.67 / $649.86 / $1,012.07	Facility		$494.67	$649.86	$1,012.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $699.23 / $1,020.50 / $34,096.12	Facility		$699.23	$1,020.50	$34,096.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $477.44 / $650.98 / $759.46	Professional		$477.44	$650.98	$759.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $142.07 / $142.07 / $142.07	Professional	AS	$142.07	$142.07	$142.07
United Facility/Professional Facility Modifier Low / Median / High Price $7,865.00 / $7,865.00 / $7,865.00	Facility		$7,865.00	$7,865.00	$7,865.00