Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,631.43 / $1,631.43 / $1,631.43	Facility		$1,631.43	$1,631.43	$1,631.43
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $815.72 / $815.72 / $815.72	Facility	52	$815.72	$815.72	$815.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,680.16 / $2,492.78 / $4,769.39	Facility		$1,680.16	$2,492.78	$4,769.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,731.77 / $4,102.64 / $5,635.48	Facility		$2,731.77	$4,102.64	$5,635.48
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,016.94 / $3,065.20 / $3,510.73	Professional		$2,016.94	$3,065.20	$3,510.73
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $681.02 / $681.02 / $681.02	Professional	80	$681.02	$681.02	$681.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $681.02 / $681.02 / $681.02	Professional	AS	$681.02	$681.02	$681.02
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