Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $4,365.16	Facility		$707.95	$1,023.29	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Facility		$870.96	$1,174.90	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,621.81	Professional		$1,479.11	$1,621.81	$1,621.81
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $1,412.54	Professional		$812.83	$1,202.26	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32