Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $4,365.16	Facility		$794.33	$794.33	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,089.30	Facility		$933.25	$1,348.96	$2,089.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,819.70	Professional		$1,698.24	$1,778.28	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,584.89	Professional		$1,096.48	$1,380.38	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	AS	$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26