Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,548.13 / $4,365.16	Facility		$630.96	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,698.24	Facility		$812.83	$1,071.52	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $1,445.44	Professional		$1,288.25	$1,412.54	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,412.54	Professional		$707.95	$1,047.13	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	AS	$234.42	$234.42	$234.42
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