Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.15 / $3,964.69 / $3,964.69	Facility		$404.15	$3,964.69	$3,964.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $516.79 / $683.01 / $1,038.76	Facility		$516.79	$683.01	$1,038.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $758.43 / $1,010.91 / $2,173.59	Facility		$758.43	$1,010.91	$2,173.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $492.13 / $676.62 / $813.15	Professional		$492.13	$676.62	$813.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $3,905.54	Facility		$2,714.00	$2,714.00	$3,905.54