Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,090.30 / $4,365.16	Facility		$724.44	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,778.28	Facility		$870.96	$1,148.15	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,513.56	Professional		$1,318.26	$1,445.44	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,096.48 / $1,380.38	Professional		$676.08	$1,096.48	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26