Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,365.16 / $4,897.79	Facility		$812.83	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,949.84	Facility		$1,023.29	$1,318.26	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,778.28	Professional		$1,584.89	$1,737.80	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,584.89	Professional		$851.14	$1,288.25	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $288.40 / $288.40 / $288.40	Professional	AS	$288.40	$288.40	$288.40
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