Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.45 / $1,205.45 / $1,205.45	Facility		$1,205.45	$1,205.45	$1,205.45
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $602.73 / $602.73 / $602.73	Facility	52	$602.73	$602.73	$602.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,302.40 / $2,037.21 / $3,505.15	Facility		$1,302.40	$2,037.21	$3,505.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,004.91 / $3,015.05 / $4,164.05	Facility		$2,004.91	$3,015.05	$4,164.05
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,658.20 / $2,252.92 / $2,612.17	Professional		$1,658.20	$2,252.92	$2,612.17
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $500.85 / $500.85 / $500.85	Professional	80	$500.85	$500.85	$500.85
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $500.85 / $500.85 / $500.85	Professional	AS	$500.85	$500.85	$500.85
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