Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $4,365.16	Facility		$512.86	$562.34	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $870.96 / $1,318.26	Facility		$660.69	$870.96	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,258.93	Professional		$1,122.02	$1,122.02	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,122.02	Professional		$602.56	$933.25	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83