Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,365.16 / $4,897.79	Facility		$724.44	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,041.74	Facility		$954.99	$1,148.15	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,778.28	Professional		$1,621.81	$1,778.28	$1,778.28
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,548.82	Professional		$912.01	$1,318.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28