Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,090.30 / $4,365.16	Facility		$977.24	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,691.53	Facility		$1,174.90	$1,659.59	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,344.23	Professional		$2,137.96	$2,344.23	$2,344.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $1,949.84	Professional		$1,096.48	$1,698.24	$1,949.84
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $389.05 / $389.05 / $389.05	Professional	AS	$389.05	$389.05	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84