Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,365.16 / $6,918.31	Facility		$870.96	$4,365.16	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,398.83	Facility		$1,174.90	$1,445.44	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,137.96	Professional		$1,905.46	$2,089.30	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,862.09	Professional		$1,023.29	$1,584.89	$1,862.09
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $363.08 / $363.08 / $363.08	Professional	AS	$363.08	$363.08	$363.08
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