Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.85 / $1,117.85 / $1,117.85	Facility		$1,117.85	$1,117.85	$1,117.85
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $558.92 / $558.92 / $558.92	Facility	52	$558.92	$558.92	$558.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,205.38 / $1,989.56 / $3,247.25	Facility		$1,205.38	$1,989.56	$3,247.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,858.08 / $2,794.06 / $3,849.11	Facility		$1,858.08	$2,794.06	$3,849.11
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,530.41 / $2,084.66 / $2,417.46	Professional		$1,530.41	$2,084.66	$2,417.46
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $463.40 / $463.40 / $463.40	Professional	80	$463.40	$463.40	$463.40
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $463.40 / $463.40 / $463.40	Professional	AS	$463.40	$463.40	$463.40
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