Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.09 / $836.09 / $4,338.00	Facility		$836.09	$836.09	$4,338.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $627.07 / $627.07 / $627.07	Facility	54	$627.07	$627.07	$627.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $685.85 / $1,044.17 / $2,084.35	Facility		$685.85	$1,044.17	$2,084.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,472.55 / $1,821.47 / $2,125.04	Facility		$1,472.55	$1,821.47	$2,125.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $852.18 / $1,285.11 / $1,511.81	Professional		$852.18	$1,285.11	$1,511.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00