Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $935.94 / $935.94 / $935.94	Facility		$935.94	$935.94	$935.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $467.97 / $467.97 / $467.97	Facility	52	$467.97	$467.97	$467.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $953.56 / $1,432.92 / $2,732.97	Facility		$953.56	$1,432.92	$2,732.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,561.55 / $2,349.55 / $3,239.04	Facility		$1,561.55	$2,349.55	$3,239.04
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,156.78 / $1,756.27 / $2,032.56	Professional		$1,156.78	$1,756.27	$2,032.56
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $390.44 / $390.44 / $390.44	Professional	80	$390.44	$390.44	$390.44
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $390.44 / $390.44 / $390.44	Professional	AS	$390.44	$390.44	$390.44
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