Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,090.30 / $4,365.16	Facility		$758.58	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,995.26	Facility		$870.96	$1,023.29	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,698.24	Professional		$1,513.56	$1,548.82	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,380.38	Professional		$851.14	$1,202.26	$1,380.38
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