Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,290.87 / $4,365.16	Facility		$616.60	$2,290.87	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility	50	$12,022.64	$12,022.64	$12,022.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $1,659.59	Facility		$776.25	$912.01	$1,659.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Professional		$1,318.26	$1,445.44	$1,445.44
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $1,258.93	Professional		$707.95	$1,071.52	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28