Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,548.13 / $4,365.16	Facility		$645.65	$3,548.13	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,698.24	Facility		$851.14	$1,096.48	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,513.56	Professional		$1,258.93	$1,513.56	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,258.93	Professional		$794.33	$1,071.52	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84