Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,815.30 / $1,815.30 / $1,815.30	Facility		$1,815.30	$1,815.30	$1,815.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,223.34 / $3,067.86 / $5,101.03	Facility		$2,223.34	$3,067.86	$5,101.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,920.92 / $4,290.56 / $6,054.70	Facility		$2,920.92	$4,290.56	$6,054.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,416.84 / $3,296.12 / $3,806.36	Professional		$2,416.84	$3,296.12	$3,806.36
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $733.26 / $733.26 / $733.26	Professional	AS	$733.26	$733.26	$733.26
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