Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $618.29 / $618.29 / $2,290.00	Facility		$618.29	$618.29	$2,290.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,140.63 / $12,140.63 / $12,140.63	Facility	50	$12,140.63	$12,140.63	$12,140.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.00 / $1,011.08 / $1,652.81	Facility		$714.00	$1,011.08	$1,652.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,019.00 / $1,702.63 / $2,691.59	Facility		$1,019.00	$1,702.63	$2,691.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $712.99 / $1,080.55 / $1,271.16	Professional		$712.99	$1,080.55	$1,271.16
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00