Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,220.18 / $25,703.96	Facility		$3,311.31	$11,220.18	$25,703.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,818.38	Facility		$870.96	$1,202.26	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $1,621.81	Professional		$1,513.56	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,445.44	Professional		$812.83	$1,202.26	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	AS	$275.42	$275.42	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32