Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,511.00	Facility		$734.00	$734.00	$3,511.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.23 / $1,017.77 / $1,791.69	Facility		$602.23	$1,017.77	$1,791.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,288.26 / $1,674.36 / $3,141.50	Facility		$1,288.26	$1,674.36	$3,141.50
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $793.40 / $1,123.69 / $1,322.26	Professional		$793.40	$1,123.69	$1,322.26
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