Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.73 / $1,484.73 / $4,338.00	Facility		$1,484.73	$1,484.73	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $742.37 / $742.37 / $742.37	Facility	52	$742.37	$742.37	$742.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,961.06 / $2,509.19 / $4,015.60	Facility		$1,961.06	$2,509.19	$4,015.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,306.69 / $3,465.84 / $4,700.05	Facility		$2,306.69	$3,465.84	$4,700.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,880.04 / $2,565.64 / $2,978.97	Professional		$1,880.04	$2,565.64	$2,978.97
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $568.03 / $568.03 / $568.03	Professional	80	$568.03	$568.03	$568.03
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $568.03 / $568.03 / $568.03	Professional	AS	$568.03	$568.03	$568.03
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