Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $5,623.41 / $5,623.41	Facility		$478.63	$5,623.41	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $1,230.27	Facility		$630.96	$812.83	$1,230.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,071.52	Professional		$977.24	$1,071.52	$1,071.52
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $954.99	Professional		$537.03	$812.83	$954.99
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	AS	$181.97	$181.97	$181.97
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