Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $4,365.16	Facility		$1,737.80	$1,737.80	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $5,128.61	Facility		$1,584.89	$2,630.27	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $4,677.35	Professional		$4,265.80	$4,365.16	$4,677.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $3,801.89	Professional		$2,290.87	$3,235.94	$3,801.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $741.31 / $741.31 / $741.31	Professional	AS	$741.31	$741.31	$741.31
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