Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.07 / $698.07 / $3,511.00	Facility		$698.07	$698.07	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $1,141.78 / $2,118.82	Facility		$728.00	$1,141.78	$2,118.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,155.58 / $1,839.18 / $3,285.23	Facility		$1,155.58	$1,839.18	$3,285.23
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $863.35 / $1,261.34 / $1,458.76	Professional		$863.35	$1,261.34	$1,458.76
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00