Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $687.17 / $4,879.76 / $4,879.76	Facility		$687.17	$4,879.76	$4,879.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $899.06 / $1,157.32 / $1,782.80	Facility		$899.06	$1,157.32	$1,782.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,267.50 / $1,693.23 / $3,711.03	Facility		$1,267.50	$1,693.23	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $844.38 / $1,160.92 / $1,366.90	Professional		$844.38	$1,160.92	$1,366.90
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $253.64 / $253.64 / $253.64	Professional	AS	$253.64	$253.64	$253.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00