Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $709.76 / $3,511.00 / $16,387.90	Facility		$709.76	$3,511.00	$16,387.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $930.16 / $1,193.73 / $1,862.07	Facility		$930.16	$1,193.73	$1,862.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,089.00 / $1,748.23 / $11,225.27	Facility		$1,089.00	$1,748.23	$11,225.27
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $879.42 / $1,193.83 / $1,404.42	Professional		$879.42	$1,193.83	$1,404.42
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $263.68 / $263.68 / $263.68	Professional	AS	$263.68	$263.68	$263.68
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00