Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.20 / $204.20 / $204.20	Facility		$204.20	$204.20	$204.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.10 / $102.10 / $102.10	Facility	52	$102.10	$102.10	$102.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $240.35 / $284.06 / $568.01	Facility		$240.35	$284.06	$568.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $321.73 / $502.51 / $656.99	Facility		$321.73	$502.51	$656.99
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $360.36 / $408.19	Professional		$270.02	$360.36	$408.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $80.30 / $80.30 / $80.30	Professional	80	$80.30	$80.30	$80.30
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $80.30 / $80.30 / $80.30	Professional	AS	$80.30	$80.30	$80.30
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