Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,055.68 / $9,235.90 / $13,197.75	Facility		$3,055.68	$9,235.90	$13,197.75
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $324.93 / $8,837.32 / $8,837.32	Facility	52	$324.93	$8,837.32	$8,837.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $714.61 / $1,176.98 / $1,990.19	Facility		$714.61	$1,176.98	$1,990.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,063.42 / $1,729.60 / $6,721.75	Facility		$1,063.42	$1,729.60	$6,721.75
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $885.14 / $1,199.33 / $1,410.89	Professional		$885.14	$1,199.33	$1,410.89
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $267.02 / $267.02 / $267.02	Professional	80	$267.02	$267.02	$267.02
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $267.02 / $267.02 / $267.02	Professional	AS	$267.02	$267.02	$267.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00