Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.59 / $169.59 / $2,290.00	Facility		$169.59	$169.59	$2,290.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $127.19 / $127.19 / $127.19	Facility	54	$127.19	$127.19	$127.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $321.39 / $821.00	Facility		$229.34	$321.39	$821.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.63 / $392.29 / $555.83	Facility		$225.63	$392.29	$555.83
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $223.51 / $305.83 / $400.26	Professional		$223.51	$305.83	$400.26
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00