Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,677.18 / $1,677.18 / $1,677.18	Facility		$1,677.18	$1,677.18	$1,677.18
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $838.59 / $838.59 / $838.59	Facility	52	$838.59	$838.59	$838.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,791.43 / $2,696.16 / $4,898.59	Facility		$1,791.43	$2,696.16	$4,898.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,805.55 / $4,208.95 / $5,739.77	Facility		$2,805.55	$4,208.95	$5,739.77
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,086.40 / $3,142.94 / $3,592.24	Professional		$2,086.40	$3,142.94	$3,592.24
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $696.07 / $696.07 / $696.07	Professional	80	$696.07	$696.07	$696.07
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $696.07 / $696.07 / $696.07	Professional	AS	$696.07	$696.07	$696.07
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