Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.52 / $421.52 / $2,290.00	Facility		$421.52	$421.52	$2,290.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $210.76 / $210.76 / $210.76	Facility	52	$210.76	$210.76	$210.76
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.14 / $316.14 / $316.14	Facility	54	$316.14	$316.14	$316.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $513.97 / $678.50 / $1,021.48	Facility		$513.97	$678.50	$1,021.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $225.63 / $781.36 / $1,079.92	Facility		$225.63	$781.36	$1,079.92
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $487.05 / $671.31 / $841.62	Professional		$487.05	$671.31	$841.62
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00