Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,532.48 / $1,532.48 / $4,338.00	Facility		$1,532.48	$1,532.48	$4,338.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,054.21 / $2,618.30 / $4,278.78	Facility		$2,054.21	$2,618.30	$4,278.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,413.73 / $3,608.99 / $5,174.54	Facility		$2,413.73	$3,608.99	$5,174.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,060.51 / $2,850.52 / $3,292.72	Professional		$2,060.51	$2,850.52	$3,292.72
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $626.07 / $626.07 / $626.07	Professional	AS	$626.07	$626.07	$626.07
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