Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $4,365.16	Facility		$707.95	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,862.09	Facility		$933.25	$1,202.26	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,412.54	Professional		$812.83	$1,202.26	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	AS	$269.15	$269.15	$269.15
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