Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.47 / $652.47 / $652.47	Facility		$652.47	$652.47	$652.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.49 / $130.49 / $130.49	Facility	53	$130.49	$130.49	$130.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $1,018.77 / $1,651.73	Facility		$636.59	$1,018.77	$1,651.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,246.74 / $1,520.49 / $1,717.98	Facility		$1,246.74	$1,520.49	$1,717.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $838.56 / $1,097.34 / $1,251.09	Professional		$838.56	$1,097.34	$1,251.09
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00