Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.58 / $212.58 / $212.58	Facility		$212.58	$212.58	$212.58
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $106.29 / $106.29 / $106.29	Facility	52	$106.29	$106.29	$106.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $236.07 / $384.46 / $660.25	Facility		$236.07	$384.46	$660.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $362.13 / $543.79 / $742.51	Facility		$362.13	$543.79	$742.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $295.68 / $406.83 / $463.83	Professional		$295.68	$406.83	$463.83
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $90.60 / $90.60 / $90.60	Professional	80	$90.60	$90.60	$90.60
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $90.60 / $90.60 / $90.60	Professional	AS	$90.60	$90.60	$90.60
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