Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.38 / $695.38 / $695.38	Facility		$695.38	$695.38	$695.38
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $347.69 / $347.69 / $347.69	Facility	52	$347.69	$347.69	$347.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $750.29 / $1,175.19 / $2,130.42	Facility		$750.29	$1,175.19	$2,130.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,151.38 / $1,730.80 / $2,390.16	Facility		$1,151.38	$1,730.80	$2,390.16
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $950.06 / $1,292.10 / $1,504.69	Professional		$950.06	$1,292.10	$1,504.69
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $287.23 / $287.23 / $287.23	Professional	80	$287.23	$287.23	$287.23
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $287.23 / $287.23 / $287.23	Professional	AS	$287.23	$287.23	$287.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,143.00 / $3,143.00 / $3,143.00	Facility		$3,143.00	$3,143.00	$3,143.00