Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.18 / $1,443.18 / $1,443.18	Facility		$1,443.18	$1,443.18	$1,443.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,934.79 / $2,461.90 / $4,001.38	Facility		$1,934.79	$2,461.90	$4,001.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,261.76 / $3,394.08 / $4,836.68	Facility		$2,261.76	$3,394.08	$4,836.68
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,929.44 / $2,647.45 / $3,092.83	Professional		$1,929.44	$2,647.45	$3,092.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $583.73 / $583.73 / $583.73	Professional	AS	$583.73	$583.73	$583.73
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00