Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.96 / $1,168.96 / $1,168.96	Facility		$1,168.96	$1,168.96	$1,168.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,555.67 / $1,998.90 / $3,218.08	Facility		$1,555.67	$1,998.90	$3,218.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,824.22 / $2,747.75 / $3,915.84	Facility		$1,824.22	$2,747.75	$3,915.84
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,560.56 / $2,137.46 / $2,514.50	Professional		$1,560.56	$2,137.46	$2,514.50
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $472.28 / $472.28 / $472.28	Professional	AS	$472.28	$472.28	$472.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00