Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,090.30 / $4,365.16	Facility		$870.96	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,137.96	Facility		$954.99	$1,174.90	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,819.70	Professional		$1,621.81	$1,778.28	$1,819.70
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,737.80	Professional		$1,174.90	$1,513.56	$1,737.80
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 $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84