Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,710.48 / $1,710.48 / $4,338.00	Facility		$1,710.48	$1,710.48	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $855.24 / $855.24 / $855.24	Facility	52	$855.24	$855.24	$855.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,258.30 / $2,890.71 / $4,611.18	Facility		$2,258.30	$2,890.71	$4,611.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,650.13 / $3,983.80 / $5,407.08	Facility		$2,650.13	$3,983.80	$5,407.08
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,163.52 / $2,946.26 / $3,428.57	Professional		$2,163.52	$2,946.26	$3,428.57
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $652.83 / $652.83 / $652.83	Professional	80	$652.83	$652.83	$652.83
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $652.83 / $652.83 / $652.83	Professional	AS	$652.83	$652.83	$652.83
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