Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.05 / $4,937.00 / $14,659.49	Facility		$1,700.05	$4,937.00	$14,659.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $850.03 / $850.03 / $850.03	Facility	52	$850.03	$850.03	$850.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,053.28 / $2,695.20 / $4,614.01	Facility		$2,053.28	$2,695.20	$4,614.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,647.21 / $3,919.21 / $5,369.54	Facility		$2,647.21	$3,919.21	$5,369.54
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,179.61 / $2,947.42 / $3,394.28	Professional		$2,179.61	$2,947.42	$3,394.28
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $650.26 / $650.26 / $650.26	Professional	80	$650.26	$650.26	$650.26
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $650.26 / $650.26 / $650.26	Professional	AS	$650.26	$650.26	$650.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00