Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,090.30 / $4,365.16	Facility		$724.44	$3,090.30	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,202.26 / $2,041.74	Facility		$870.96	$1,202.26	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,659.59	Professional		$1,479.11	$1,659.59	$1,659.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,548.82	Professional		$954.99	$1,348.96	$1,548.82
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