Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,897.79 / $8,128.31	Facility		$588.84	$4,897.79	$8,128.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,513.56	Facility		$758.58	$1,000.00	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $1,318.26	Professional		$1,230.27	$1,318.26	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,174.90	Professional		$630.96	$1,000.00	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	AS	$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28