Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,365.16 / $4,897.79	Facility		$676.08	$4,365.16	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $1,778.28	Facility		$478.63	$851.14	$1,778.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,479.11 / $1,479.11	Professional		$1,380.38	$1,479.11	$1,479.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,230.27	Professional		$660.69	$1,071.52	$1,230.27
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