Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $964.13 / $964.13 / $964.13	Facility		$964.13	$964.13	$964.13
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $482.07 / $482.07 / $482.07	Facility	52	$482.07	$482.07	$482.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,019.95 / $1,484.97 / $2,957.37	Facility		$1,019.95	$1,484.97	$2,957.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,590.55 / $2,394.46 / $3,329.78	Facility		$1,590.55	$2,394.46	$3,329.78
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,205.22 / $1,790.50 / $2,095.96	Professional		$1,205.22	$1,790.50	$2,095.96
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $398.55 / $398.55 / $398.55	Professional	80	$398.55	$398.55	$398.55
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $398.55 / $398.55 / $398.55	Professional	AS	$398.55	$398.55	$398.55
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00