Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,548.13 / $4,365.16	Facility		$537.03	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,412.54	Facility		$660.69	$912.01	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,230.27	Professional		$1,122.02	$1,230.27	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,071.52	Professional		$616.60	$912.01	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	AS	$204.17	$204.17	$204.17
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