Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.33 / $3,921.30 / $16,201.39	Facility		$1,120.33	$3,921.30	$16,201.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,464.96 / $1,880.48 / $2,825.08	Facility		$1,464.96	$1,880.48	$2,825.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,653.86 / $2,748.81 / $20,583.25	Facility		$1,653.86	$2,748.81	$20,583.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,337.36 / $1,838.72 / $2,203.98	Professional		$1,337.36	$1,838.72	$2,203.98
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $408.46 / $408.46 / $408.46	Professional	AS	$408.46	$408.46	$408.46
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