Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.70 / $1,576.70 / $4,338.00	Facility		$1,576.70	$1,576.70	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,114.41 / $2,690.18 / $4,412.17	Facility		$2,114.41	$2,690.18	$4,412.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,488.11 / $3,728.85 / $5,336.18	Facility		$2,488.11	$3,728.85	$5,336.18
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,127.92 / $2,939.29 / $3,394.28	Professional		$2,127.92	$2,939.29	$3,394.28
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $646.91 / $646.91 / $646.91	Professional	AS	$646.91	$646.91	$646.91
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00