Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,548.13 / $6,918.31	Facility		$676.08	$3,548.13	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,778.28	Facility		$891.25	$1,122.02	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $1,548.82	Professional		$1,380.38	$1,548.82	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,348.96	Professional		$794.33	$1,122.02	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	AS	$257.04	$257.04	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32