Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.02 / $487.02 / $3,073.00	Facility		$487.02	$487.02	$3,073.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $365.27 / $365.27 / $365.27	Facility	54	$365.27	$365.27	$365.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $590.09 / $791.89 / $1,219.18	Facility		$590.09	$791.89	$1,219.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $895.34 / $1,193.55 / $1,969.98	Facility		$895.34	$1,193.55	$1,969.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $516.46 / $795.19 / $958.06	Professional		$516.46	$795.19	$958.06
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00