Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,486.74 / $1,486.74 / $1,486.74	Facility		$1,486.74	$1,486.74	$1,486.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $743.37 / $743.37 / $743.37	Facility	52	$743.37	$743.37	$743.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,593.65 / $2,512.59 / $4,350.67	Facility		$1,593.65	$2,512.59	$4,350.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,490.59 / $3,740.27 / $5,098.43	Facility		$2,490.59	$3,740.27	$5,098.43
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,030.28 / $2,784.96 / $3,195.69	Professional		$2,030.28	$2,784.96	$3,195.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $618.35 / $618.35 / $618.35	Professional	80	$618.35	$618.35	$618.35
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $618.35 / $618.35 / $618.35	Professional	AS	$618.35	$618.35	$618.35
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