Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.64 / $4,242.51 / $6,213.23	Facility		$772.64	$4,242.51	$6,213.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,930.05 / $1,930.05 / $1,930.05	Facility	50	$1,930.05	$1,930.05	$1,930.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $801.58 / $1,244.43 / $2,047.22	Facility		$801.58	$1,244.43	$2,047.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,255.00 / $2,111.44 / $4,968.71	Facility		$1,255.00	$2,111.44	$4,968.71
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $957.79 / $1,337.29 / $1,588.14	Professional		$957.79	$1,337.29	$1,588.14
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00