Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.67 / $4,338.00 / $16,557.93	Facility		$1,109.67	$4,338.00	$16,557.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,386.57 / $1,749.29 / $3,063.01	Facility		$1,386.57	$1,749.29	$3,063.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,932.00 / $2,852.88 / $4,968.71	Facility		$1,932.00	$2,852.88	$4,968.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,363.40 / $1,951.79 / $2,302.32	Professional		$1,363.40	$1,951.79	$2,302.32
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $434.32 / $434.32 / $434.32	Professional	AS	$434.32	$434.32	$434.32
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