Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $3,838.05 / $4,242.51	Facility		$199.39	$3,838.05	$4,242.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $487.52 / $487.52 / $4,323.91	Facility	50	$487.52	$487.52	$4,323.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.45 / $318.49 / $821.00	Facility		$248.45	$318.49	$821.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $326.39 / $513.69 / $661.14	Facility		$326.39	$513.69	$661.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $264.30 / $357.40 / $415.31	Professional		$264.30	$357.40	$415.31
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00