Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $4,365.16	Facility		$676.08	$676.08	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,778.28	Facility		$891.25	$1,148.15	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,513.56	Professional		$1,412.54	$1,513.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,148.15 / $1,348.96	Professional		$776.25	$1,148.15	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	AS	$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84