Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,365.16 / $4,897.79	Facility		$741.31	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,949.84	Facility		$891.25	$1,258.93	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,698.24	Professional		$1,548.82	$1,698.24	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,479.11	Professional		$870.96	$1,258.93	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32