Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.92 / $899.35 / $1,869.60	Facility		$395.92	$899.35	$1,869.60
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $395.92 / $1,248.91 / $2,474.46	Facility	25	$395.92	$1,248.91	$2,474.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $159.75 / $393.38 / $498.33	Professional	25	$159.75	$393.38	$498.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.31 / $248.39 / $326.39	Facility		$200.31	$248.39	$326.39
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $299.14 / $299.14 / $351.93	Professional	25	$299.14	$299.14	$351.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $326.67 / $345.65	Facility		$252.00	$326.67	$345.65
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $211.02 / $287.05 / $337.68	Professional		$211.02	$287.05	$337.68