Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.05 / $745.05 / $3,073.00	Facility		$745.05	$745.05	$3,073.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $558.79 / $558.79 / $558.79	Facility	54	$558.79	$558.79	$558.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $896.43 / $1,231.09 / $1,967.47	Facility		$896.43	$1,231.09	$1,967.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,138.28 / $1,689.28 / $2,020.28	Facility		$1,138.28	$1,689.28	$2,020.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $871.58 / $1,271.22 / $1,473.64	Professional		$871.58	$1,271.22	$1,473.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Facility		$1,643.00	$1,643.00	$1,643.00