Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.14 / $681.14 / $3,073.00	Facility		$681.14	$681.14	$3,073.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $606.20 / $997.47 / $1,563.72	Facility		$606.20	$997.47	$1,563.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $927.00 / $1,556.28 / $5,269.25	Facility		$927.00	$1,556.28	$5,269.25
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $638.10 / $976.51 / $1,211.00	Professional		$638.10	$976.51	$1,211.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00