Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.75 / $653.75 / $653.75	Facility		$653.75	$653.75	$653.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.85 / $1,067.91 / $1,685.56	Facility		$760.85	$1,067.91	$1,685.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,186.44 / $1,573.76 / $3,711.03	Facility		$1,186.44	$1,573.76	$3,711.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $721.21 / $1,073.95 / $1,243.33	Professional		$721.21	$1,073.95	$1,243.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00