Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.69 / $872.69 / $3,073.00	Facility		$872.69	$872.69	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $884.10 / $1,249.32 / $2,137.48	Facility		$884.10	$1,249.32	$2,137.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,406.73 / $2,188.02 / $10,726.69	Facility		$1,406.73	$2,188.02	$10,726.69
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $965.27 / $1,536.52 / $1,751.81	Professional		$965.27	$1,536.52	$1,751.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $287.23 / $287.23 / $287.23	Professional	AS	$287.23	$287.23	$287.23
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