Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.63 / $296.94 / $296.94	Facility		$252.63	$296.94	$296.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.47 / $148.47 / $148.47	Facility	52	$148.47	$148.47	$148.47
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $59.39 / $59.39 / $59.39	Facility	53	$59.39	$59.39	$59.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $310.18 / $537.26 / $906.90	Facility		$310.18	$537.26	$906.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $507.81 / $806.27 / $4,408.14	Facility		$507.81	$806.27	$4,408.14
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $408.26 / $539.60 / $615.20	Professional		$408.26	$539.60	$615.20
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