Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $4,365.16	Facility		$758.58	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,288.25 / $1,905.46	Facility		$933.25	$1,288.25	$1,905.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $1,737.80	Professional		$1,513.56	$1,737.80	$1,737.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $1,584.89	Professional		$870.96	$1,258.93	$1,584.89
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $295.12 / $295.12 / $295.12	Professional	AS	$295.12	$295.12	$295.12
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