Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,096.48 / $1,445.44	Facility		$190.55	$1,096.48	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $758.58	Facility		$251.19	$436.52	$758.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $707.95	Professional		$363.08	$416.87	$707.95
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $616.60	Professional		$302.00	$446.68	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Facility		$812.83	$812.83	$812.83