Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,365.16 / $4,897.79	Facility		$660.69	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,000.00 / $1,995.26	Facility		$588.84	$1,000.00	$1,995.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,698.24	Professional		$1,513.56	$1,584.89	$1,698.24
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,348.96	Professional		$812.83	$1,122.02	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53