Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.28 / $496.28 / $2,290.00	Facility		$496.28	$496.28	$2,290.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $372.21 / $372.21 / $372.21	Facility	54	$372.21	$372.21	$372.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $603.57 / $816.29 / $1,294.08	Facility		$603.57	$816.29	$1,294.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $740.91 / $1,226.69 / $1,969.98	Facility		$740.91	$1,226.69	$1,969.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $557.14 / $837.50 / $985.23	Professional		$557.14	$837.50	$985.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00