Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $2,398.83 / $2,398.83	Professional		$95.50	$2,398.83	$2,398.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $3,388.44 / $4,265.80	Facility		$134.90	$3,388.44	$4,265.80
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44