Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,365.16 / $10,964.78	Facility		$616.60	$4,365.16	$10,964.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,584.89	Facility		$794.33	$1,023.29	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,380.38 / $1,380.38	Professional		$1,258.93	$1,380.38	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $1,202.26	Professional		$691.83	$1,023.29	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	AS	$229.09	$229.09	$229.09
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