Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $764.89 / $764.89 / $2,290.00	Facility		$764.89	$764.89	$2,290.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $382.45 / $382.45 / $382.45	Facility	52	$382.45	$382.45	$382.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $985.81 / $1,292.66 / $2,159.89	Facility		$985.81	$1,292.66	$2,159.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,411.00 / $2,112.80 / $34,000.55	Facility		$1,411.00	$2,112.80	$34,000.55
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,010.68 / $1,345.48 / $1,567.44	Professional		$1,010.68	$1,345.48	$1,567.44
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $300.74 / $300.74 / $300.74	Professional	80	$300.74	$300.74	$300.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,150.00 / $7,150.00 / $7,150.00	Facility		$7,150.00	$7,150.00	$7,150.00