Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.59 / $1,044.59 / $1,044.59	Facility		$1,044.59	$1,044.59	$1,044.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,390.01 / $1,765.37 / $2,843.41	Facility		$1,390.01	$1,765.37	$2,843.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,617.89 / $2,452.12 / $3,463.24	Facility		$1,617.89	$2,452.12	$3,463.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,375.91 / $1,875.71 / $2,206.58	Professional		$1,375.91	$1,875.71	$2,206.58
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $412.44 / $412.44 / $412.44	Professional	AS	$412.44	$412.44	$412.44
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