Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,365.16 / $4,897.79	Facility		$776.25	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,819.70	Facility		$933.25	$1,258.93	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,584.89 / $1,621.81	Professional		$1,445.44	$1,584.89	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,479.11	Professional		$758.58	$1,174.90	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	AS	$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84