Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $4,365.16	Facility		$1,380.38	$1,380.38	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,890.45	Facility		$1,698.24	$1,995.26	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,235.94 / $3,388.44	Professional		$3,162.28	$3,235.94	$3,388.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $3,019.95	Professional		$1,737.80	$2,630.27	$3,019.95
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $588.84 / $588.84 / $588.84	Professional	AS	$588.84	$588.84	$588.84
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