Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.82 / $585.82 / $3,073.00	Facility		$585.82	$585.82	$3,073.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $292.91 / $292.91 / $292.91	Facility	52	$292.91	$292.91	$292.91
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $439.37 / $439.37 / $439.37	Facility	54	$439.37	$439.37	$439.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $766.19 / $964.26 / $1,514.28	Facility		$766.19	$964.26	$1,514.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.00 / $1,433.30 / $1,969.98	Facility		$953.00	$1,433.30	$1,969.98
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.54 / $982.67 / $1,156.01	Professional		$676.54	$982.67	$1,156.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00