Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,548.13 / $4,365.16	Facility		$724.44	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,949.84	Facility		$977.24	$1,202.26	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Professional		$1,548.82	$1,548.82	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,380.38	Professional		$977.24	$1,202.26	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	AS	$281.84	$281.84	$281.84
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