Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,090.30 / $4,365.16	Facility		$676.08	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $933.25 / $1,548.82	Facility		$794.33	$933.25	$1,548.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,348.96	Professional		$1,202.26	$1,348.96	$1,348.96
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,202.26	Professional		$588.84	$1,023.29	$1,202.26
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