Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.81 / $777.81 / $3,511.00	Facility		$777.81	$777.81	$3,511.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $388.91 / $388.91 / $388.91	Facility	52	$388.91	$388.91	$388.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,033.26 / $1,314.50 / $2,402.37	Facility		$1,033.26	$1,314.50	$2,402.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,589.00 / $2,258.21 / $33,613.62	Facility		$1,589.00	$2,258.21	$33,613.62
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,076.41 / $1,430.19 / $1,680.65	Professional		$1,076.41	$1,430.19	$1,680.65
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $320.30 / $320.30 / $320.30	Professional	80	$320.30	$320.30	$320.30
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $320.30 / $320.30 / $320.30	Professional	AS	$320.30	$320.30	$320.30
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