Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,365.16 / $4,897.79	Facility		$1,122.02	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,090.30	Facility		$1,445.44	$1,905.46	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $2,691.53	Professional		$2,454.71	$2,570.40	$2,691.53
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,398.83	Professional		$1,348.96	$2,041.74	$2,398.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $457.09 / $457.09 / $457.09	Professional	AS	$457.09	$457.09	$457.09
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