Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $4,365.16	Facility		$707.95	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,949.84	Facility		$851.14	$1,174.90	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $1,698.24	Professional		$1,513.56	$1,698.24	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,380.38	Professional		$870.96	$1,202.26	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $275.42 / $275.42 / $275.42	Professional	AS	$275.42	$275.42	$275.42
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