Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,365.16 / $7,943.28	Facility		$758.58	$4,365.16	$7,943.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,778.28	Facility		$977.24	$1,258.93	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,548.82 / $1,584.89	Professional		$1,412.54	$1,548.82	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,148.15 / $1,445.44	Professional		$741.31	$1,148.15	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	AS	$257.04	$257.04	$257.04
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