Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.26 / $730.99 / $730.99	Facility		$394.26	$730.99	$730.99
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.70 / $295.70 / $295.70	Facility	54	$295.70	$295.70	$295.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $479.73 / $632.57 / $943.41	Facility		$479.73	$632.57	$943.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.63 / $728.85 / $1,003.50	Facility		$225.63	$728.85	$1,003.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $400.55 / $619.98 / $782.10	Professional		$400.55	$619.98	$782.10
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00