Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $4,365.16	Facility		$1,071.52	$1,071.52	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,818.38	Facility		$1,412.54	$1,819.70	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $2,454.71	Professional		$2,238.72	$2,454.71	$2,454.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,137.96	Professional		$1,258.93	$1,819.70	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	AS	$416.87	$416.87	$416.87
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