Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,090.30 / $4,365.16	Facility		$691.83	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $977.24 / $1,819.70	Facility		$812.83	$977.24	$1,819.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,548.82	Professional		$1,445.44	$1,548.82	$1,548.82
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,380.38	Professional		$776.25	$1,174.90	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $269.15 / $269.15 / $269.15	Professional	AS	$269.15	$269.15	$269.15
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