Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,576.54 / $1,576.54 / $4,338.00	Facility		$1,576.54	$1,576.54	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $788.27 / $788.27 / $788.27	Facility	52	$788.27	$788.27	$788.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,904.07 / $2,498.06 / $4,265.97	Facility		$1,904.07	$2,498.06	$4,265.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,450.69 / $3,633.08 / $4,976.41	Facility		$2,450.69	$3,633.08	$4,976.41
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,015.28 / $2,725.20 / $3,145.23	Professional		$2,015.28	$2,725.20	$3,145.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $602.00 / $602.00 / $602.00	Professional	AS	$602.00	$602.00	$602.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00