Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,548.13 / $4,365.16	Facility		$512.86	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $870.96 / $1,348.96	Facility		$676.08	$870.96	$1,348.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,174.90	Professional		$1,071.52	$1,174.90	$1,174.90
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,023.29	Professional		$588.84	$870.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28