Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,290.87 / $4,365.16	Facility		$128.82	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $371.54	Facility		$173.78	$229.09	$371.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Professional		$295.12	$309.03	$309.03
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $245.47 / $275.42	Professional		$169.82	$245.47	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83