Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.23 / $1,584.23 / $1,584.23	Facility		$1,584.23	$1,584.23	$1,584.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $792.12 / $792.12 / $792.12	Facility	52	$792.12	$792.12	$792.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,666.87 / $2,421.84 / $4,627.18	Facility		$1,666.87	$2,421.84	$4,627.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,646.09 / $3,979.31 / $5,462.35	Facility		$2,646.09	$3,979.31	$5,462.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,976.26 / $2,973.53 / $3,420.16	Professional		$1,976.26	$2,973.53	$3,420.16
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $660.68 / $660.68 / $660.68	Professional	80	$660.68	$660.68	$660.68
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $660.68 / $660.68 / $660.68	Professional	AS	$660.68	$660.68	$660.68
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