Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $4,365.16 / $4,897.79	Facility		$812.83	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,137.96	Facility		$1,047.13	$1,380.38	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,819.70	Professional		$1,698.24	$1,819.70	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $1,621.81	Professional		$933.25	$1,380.38	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	AS	$309.03	$309.03	$309.03
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