Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,365.16	Facility		$2,137.96	$2,137.96	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $5,888.44	Facility		$2,570.40	$3,548.13	$5,888.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,011.87 / $5,128.61	Professional		$4,677.35	$5,011.87	$5,128.61
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $4,570.88	Professional		$2,570.40	$3,801.89	$4,570.88
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $870.96 / $870.96 / $870.96	Professional	AS	$870.96	$870.96	$870.96
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