Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $4,365.16 / $4,897.79	Facility		$524.81	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,584.89	Facility		$478.63	$812.83	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,412.54	Professional		$1,288.25	$1,288.25	$1,412.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,148.15	Professional		$645.65	$933.25	$1,148.15
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Professional	AS	$218.78	$218.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28