Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.58 / $828.58 / $2,290.00	Facility		$828.58	$828.58	$2,290.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,010.48 / $1,305.51 / $2,209.71	Facility		$1,010.48	$1,305.51	$2,209.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,426.62 / $2,171.23 / $21,460.34	Facility		$1,426.62	$2,171.23	$21,460.34
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,081.82 / $1,497.93 / $1,762.16	Professional		$1,081.82	$1,497.93	$1,762.16
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $325.45 / $325.45 / $325.45	Professional	AS	$325.45	$325.45	$325.45
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