Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.08 / $796.08 / $796.08	Facility		$796.08	$796.08	$796.08
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $398.04 / $398.04 / $398.04	Facility	52	$398.04	$398.04	$398.04
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $159.22 / $159.22 / $159.22	Facility	53	$159.22	$159.22	$159.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $752.21 / $1,232.69 / $1,998.56	Facility		$752.21	$1,232.69	$1,998.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,494.26 / $1,833.63 / $2,412.07	Facility		$1,494.26	$1,833.63	$2,412.07
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $995.11 / $1,297.64 / $1,479.46	Professional		$995.11	$1,297.64	$1,479.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $296.11 / $296.11 / $296.11	Professional	80	$296.11	$296.11	$296.11
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00