Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.48 / $1,819.48 / $1,819.48	Facility		$1,819.48	$1,819.48	$1,819.48
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $363.90 / $363.90 / $363.90	Facility	53	$363.90	$363.90	$363.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,741.11 / $2,850.32 / $4,883.54	Facility		$1,741.11	$2,850.32	$4,883.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,540.15 / $4,239.41 / $5,509.31	Facility		$3,540.15	$4,239.41	$5,509.31
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,265.71 / $3,003.25 / $3,424.04	Professional		$2,265.71	$3,003.25	$3,424.04
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $674.20 / $674.20 / $674.20	Professional	80	$674.20	$674.20	$674.20
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