Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $4,365.16	Facility		$2,089.30	$2,089.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,370.32	Facility		$2,089.30	$2,818.38	$5,370.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,677.35	Professional		$4,466.84	$4,466.84	$4,677.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,467.37 / $3,981.07	Professional		$1,995.26	$3,467.37	$3,981.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $794.33 / $794.33 / $794.33	Professional	AS	$794.33	$794.33	$794.33
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