Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,548.13 / $4,365.16	Facility		$812.83	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,290.87	Facility		$1,096.48	$1,288.25	$2,290.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,041.74	Professional		$1,862.09	$1,995.26	$2,041.74
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $1,737.80	Professional		$1,071.52	$1,513.56	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $338.84 / $338.84 / $338.84	Professional	AS	$338.84	$338.84	$338.84
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