Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.88 / $1,429.88 / $4,338.00	Facility		$1,429.88	$1,429.88	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $714.94 / $714.94 / $714.94	Facility	52	$714.94	$714.94	$714.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,888.00 / $2,416.50 / $3,865.18	Facility		$1,888.00	$2,416.50	$3,865.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,220.16 / $3,334.96 / $4,521.75	Facility		$2,220.16	$3,334.96	$4,521.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,809.70 / $2,469.91 / $2,868.35	Professional		$1,809.70	$2,469.91	$2,868.35
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $546.66 / $546.66 / $546.66	Professional	80	$546.66	$546.66	$546.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $546.66 / $546.66 / $546.66	Professional	AS	$546.66	$546.66	$546.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00