Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,691.53 / $4,365.16	Facility		$489.78	$2,691.53	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $1,318.26	Facility		$645.65	$831.76	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,096.48	Professional		$977.24	$1,096.48	$1,096.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $977.24	Professional		$524.81	$794.33	$977.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	AS	$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53