Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,365.16	Facility		$1,819.70	$1,819.70	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $5,128.61	Facility		$2,187.76	$2,630.27	$5,128.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,265.80 / $4,466.84	Professional		$4,168.69	$4,265.80	$4,466.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,467.37 / $3,890.45	Professional		$2,290.87	$3,467.37	$3,890.45
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $776.25 / $776.25 / $776.25	Professional	AS	$776.25	$776.25	$776.25
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