Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $2,290.87 / $4,897.79	Facility		$512.86	$2,290.87	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $1,445.44	Facility		$691.83	$870.96	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,258.93	Professional		$1,148.15	$1,230.27	$1,258.93
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,096.48	Professional		$645.65	$933.25	$1,096.48
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