Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $4,365.16	Facility		$575.44	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $851.14 / $1,584.89	Facility		$707.95	$851.14	$1,584.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,380.38	Professional		$1,258.93	$1,318.26	$1,380.38
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,230.27	Professional		$676.08	$1,047.13	$1,230.27
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $234.42 / $234.42 / $234.42	Professional	AS	$234.42	$234.42	$234.42
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