Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,365.16	Facility		$1,621.81	$1,621.81	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,570.88	Facility		$1,995.26	$2,818.38	$4,570.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,890.45 / $3,981.07	Professional		$3,715.35	$3,890.45	$3,981.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $3,548.13	Professional		$2,041.74	$3,019.95	$3,548.13
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $691.83 / $691.83 / $691.83	Professional	AS	$691.83	$691.83	$691.83
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