Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.82 / $677.82 / $2,290.00	Facility		$677.82	$677.82	$2,290.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $508.37 / $508.37 / $508.37	Facility	54	$508.37	$508.37	$508.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $821.03 / $1,078.58 / $1,767.76	Facility		$821.03	$1,078.58	$1,767.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,025.96 / $1,547.94 / $2,020.28	Facility		$1,025.96	$1,547.94	$2,020.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $842.88 / $1,146.54 / $1,348.79	Professional		$842.88	$1,146.54	$1,348.79
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00