Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.76 / $182.76 / $3,073.00	Facility		$182.76	$182.76	$3,073.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $91.38 / $91.38 / $91.38	Facility	52	$91.38	$91.38	$91.38
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.54 / $36.54 / $36.54	Facility	53	$36.54	$36.54	$36.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.24 / $362.28 / $579.89	Facility		$194.24	$362.28	$579.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $311.39 / $523.27 / $2,030.75	Facility		$311.39	$523.27	$2,030.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $253.43 / $337.04 / $384.26	Professional		$253.43	$337.04	$384.26
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $75.41 / $75.41 / $75.41	Professional	80	$75.41	$75.41	$75.41
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $75.41 / $75.41 / $75.41	Professional	AS	$75.41	$75.41	$75.41
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