Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,090.30 / $4,365.16	Facility		$575.44	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,479.11	Facility		$707.95	$977.24	$1,479.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,318.26 / $1,318.26	Professional		$1,174.90	$1,318.26	$1,318.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,000.00 / $1,174.90	Professional		$602.56	$1,000.00	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	AS	$223.87	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53