Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,887.22 / $4,017.60 / $28,444.17	Facility		$3,887.22	$4,017.60	$28,444.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.08 / $110.08 / $110.08	Professional		$110.08	$110.08	$110.08
Medica 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
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $500.00 / $500.00	Professional		$500.00	$500.00	$500.00
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