Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,365.16	Facility		$1,047.13	$1,047.13	$4,365.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $6,760.83 / $14,791.08	Facility	50	$4,786.30	$6,760.83	$14,791.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,884.03	Facility		$1,318.26	$1,737.80	$2,884.03
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility	50	$4,168.69	$4,168.69	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $2,511.89	Professional		$2,290.87	$2,398.83	$2,511.89
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,137.96	Professional		$1,318.26	$1,862.09	$2,137.96
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $416.87 / $416.87 / $416.87	Professional	AS	$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84