Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.97 / $1,468.97 / $1,468.97	Facility		$1,468.97	$1,468.97	$1,468.97
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $734.49 / $734.49 / $734.49	Facility	52	$734.49	$734.49	$734.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,428.87 / $2,044.31 / $3,858.55	Facility		$1,428.87	$2,044.31	$3,858.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,216.65 / $3,574.53 / $4,471.66	Facility		$2,216.65	$3,574.53	$4,471.66
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,643.18 / $2,436.84 / $2,830.19	Professional		$1,643.18	$2,436.84	$2,830.19
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $536.24 / $536.24 / $536.24	Professional	80	$536.24	$536.24	$536.24
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $536.24 / $536.24 / $536.24	Professional	AS	$536.24	$536.24	$536.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,714.00 / $2,714.00 / $2,714.00	Facility		$2,714.00	$2,714.00	$2,714.00