Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.11 / $1,804.11 / $1,804.11	Facility		$1,804.11	$1,804.11	$1,804.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,418.02 / $3,085.50 / $5,046.88	Facility		$2,418.02	$3,085.50	$5,046.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,839.99 / $4,253.57 / $6,138.12	Facility		$2,839.99	$4,253.57	$6,138.12
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,445.73 / $3,376.18 / $3,929.92	Professional		$2,445.73	$3,376.18	$3,929.92
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $742.53 / $742.53 / $742.53	Professional	AS	$742.53	$742.53	$742.53
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