Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.70 / $128.29 / $3,245.80	Facility		$67.70	$128.29	$3,245.80
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.85 / $33.85 / $64.15	Facility	52	$33.85	$33.85	$64.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $164.99 / $376.79	Facility		$80.00	$164.99	$376.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.72 / $203.35 / $378.55	Facility		$164.72	$203.35	$378.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $145.55 / $230.94	Professional		$94.53	$145.55	$230.94
United Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $821.00 / $821.00	Facility		$821.00	$821.00	$821.00