Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,376.31 / $1,376.31 / $6,750.00	Facility		$1,376.31	$1,376.31	$6,750.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $688.16 / $688.16 / $688.16	Facility	52	$688.16	$688.16	$688.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,813.77 / $2,325.96 / $3,686.63	Facility		$1,813.77	$2,325.96	$3,686.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,119.33 / $3,171.33 / $4,334.00	Facility		$2,119.33	$3,171.33	$4,334.00
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,733.90 / $2,356.19 / $2,755.79	Professional		$1,733.90	$2,356.19	$2,755.79
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $521.70 / $521.70 / $521.70	Professional	80	$521.70	$521.70	$521.70
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $521.70 / $521.70 / $521.70	Professional	AS	$521.70	$521.70	$521.70
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