Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $4,365.16	Facility		$707.95	$707.95	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,905.46	Facility		$870.96	$1,202.26	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,659.59	Professional		$1,479.11	$1,659.59	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,412.54	Professional		$851.14	$1,202.26	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	AS	$275.42	$275.42	$275.42
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