Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $4,365.16	Facility		$575.44	$794.33	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,819.70	Facility		$776.25	$1,202.26	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,819.70	Professional		$1,288.25	$1,318.26	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,513.56	Professional		$851.14	$1,148.15	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	AS	$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53