Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,290.87 / $4,365.16	Facility		$616.60	$2,290.87	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,698.24	Facility		$794.33	$1,000.00	$1,698.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,513.56	Professional		$1,318.26	$1,412.54	$1,513.56
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,258.93	Professional		$851.14	$1,096.48	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32