Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.25 / $817.25 / $4,338.00	Facility		$817.25	$817.25	$4,338.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $612.94 / $612.94 / $612.94	Facility	54	$612.94	$612.94	$612.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $670.30 / $1,019.00 / $2,023.15	Facility		$670.30	$1,019.00	$2,023.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,411.69 / $1,784.39 / $2,125.04	Facility		$1,411.69	$1,784.39	$2,125.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $827.20 / $1,254.86 / $1,476.23	Professional		$827.20	$1,254.86	$1,476.23
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