Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.79 / $521.79 / $4,338.00	Facility		$521.79	$521.79	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $260.89 / $260.89 / $260.89	Facility	52	$260.89	$260.89	$260.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $104.36 / $104.36 / $104.36	Facility	53	$104.36	$104.36	$104.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.91 / $815.37 / $1,321.97	Facility		$509.91	$815.37	$1,321.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $997.23 / $1,206.18 / $5,442.20	Facility		$997.23	$1,206.18	$5,442.20
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $669.90 / $878.90 / $1,002.05	Professional		$669.90	$878.90	$1,002.05
United Facility/Professional Facility Modifier Low / Median / High Price $5,357.00 / $5,357.00 / $5,357.00	Facility		$5,357.00	$5,357.00	$5,357.00