Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,365.16 / $4,897.79	Facility		$831.76	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,398.83	Facility		$1,122.02	$1,318.26	$2,398.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $2,089.30	Professional		$1,905.46	$2,041.74	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,819.70	Professional		$1,096.48	$1,548.82	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $346.74 / $346.74 / $346.74	Professional	AS	$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32