Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.85 / $4,338.00 / $10,043.69	Facility		$587.85	$4,338.00	$10,043.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $768.81 / $1,008.63 / $1,514.73	Facility		$768.81	$1,008.63	$1,514.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,083.61 / $1,446.48 / $3,711.03	Facility		$1,083.61	$1,446.48	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.24 / $990.37 / $1,165.07	Professional		$712.24	$990.37	$1,165.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $213.62 / $213.62 / $213.62	Professional	AS	$213.62	$213.62	$213.62
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