Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,090.30 / $4,365.16	Facility		$724.44	$3,090.30	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,511.38 / $8,511.38 / $8,912.51	Facility	50	$8,511.38	$8,511.38	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,630.27	Facility		$707.95	$1,000.00	$2,630.27
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $1,096.48 / $1,348.96 / $6,165.95	Facility	50	$1,096.48	$1,348.96	$6,165.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,238.72	Professional		$1,698.24	$2,041.74	$2,238.72
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,479.11 / $1,698.24	Professional		$741.31	$1,479.11	$1,698.24
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