Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.16 / $1,069.16 / $14,406.23	Facility		$1,069.16	$1,069.16	$14,406.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $534.58 / $534.58 / $534.58	Facility	52	$534.58	$534.58	$534.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,417.39 / $2,504.26 / $6,571.00	Facility		$1,417.39	$2,504.26	$6,571.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,250.12 / $3,388.22 / $4,048.49	Facility		$2,250.12	$3,388.22	$4,048.49
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,724.70 / $2,197.81 / $2,887.66	Professional		$1,724.70	$2,197.81	$2,887.66
Sanford Health Plan Facility/Professional Professional Modifier 80 Low / Median / High Price $537.66 / $537.66 / $537.66	Professional	80	$537.66	$537.66	$537.66
Sanford Health Plan Facility/Professional Professional Modifier AS Low / Median / High Price $537.66 / $537.66 / $537.66	Professional	AS	$537.66	$537.66	$537.66
United Facility/Professional Facility Modifier Low / Median / High Price $6,571.00 / $6,571.00 / $6,571.00	Facility		$6,571.00	$6,571.00	$6,571.00