Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.90 / $745.90 / $3,073.00	Facility		$745.90	$745.90	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $905.09 / $1,260.57 / $2,160.17	Facility		$905.09	$1,260.57	$2,160.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,263.27 / $2,050.88 / $10,412.21	Facility		$1,263.27	$2,050.88	$10,412.21
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $988.65 / $1,351.12 / $1,496.93	Professional		$988.65	$1,351.12	$1,496.93
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $294.57 / $294.57 / $294.57	Professional	AS	$294.57	$294.57	$294.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00