Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.83 / $230.83 / $3,073.00	Facility		$230.83	$230.83	$3,073.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $115.42 / $115.42 / $115.42	Facility	52	$115.42	$115.42	$115.42
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $46.17 / $46.17 / $46.17	Facility	53	$46.17	$46.17	$46.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $242.29 / $416.72 / $707.20	Facility		$242.29	$416.72	$707.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.26 / $655.93 / $1,487.46	Facility		$395.26	$655.93	$1,487.46
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $308.58 / $408.03 / $480.00	Professional		$308.58	$408.03	$480.00
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