Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,548.13 / $4,466.84	Facility		$954.99	$3,548.13	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,570.40	Facility		$1,174.90	$1,548.82	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $2,238.72	Professional		$2,041.74	$2,238.72	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $1,905.46	Professional		$1,096.48	$1,621.81	$1,905.46
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $371.54 / $371.54 / $371.54	Professional	AS	$371.54	$371.54	$371.54
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