Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,265.80 / $12,882.50	Facility		$575.44	$4,265.80	$12,882.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $870.96 / $1,659.59	Facility		$524.81	$870.96	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,513.56	Professional		$1,348.96	$1,380.38	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,202.26	Professional		$741.31	$1,023.29	$1,202.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	AS	$229.09	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53