Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.46 / $652.46 / $4,338.00	Facility		$652.46	$652.46	$4,338.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $326.23 / $326.23 / $326.23	Facility	52	$326.23	$326.23	$326.23
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $130.49 / $130.49 / $130.49	Facility	53	$130.49	$130.49	$130.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $636.64 / $1,018.41 / $1,651.15	Facility		$636.64	$1,018.41	$1,651.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,246.49 / $1,399.22 / $1,659.51	Facility		$1,246.49	$1,399.22	$1,659.51
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $838.13 / $1,097.34 / $1,251.09	Professional		$838.13	$1,097.34	$1,251.09
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