Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.41 / $89.41 / $89.41	Facility	26	$89.41	$89.41	$89.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.92 / $218.05 / $265.00	Professional	26	$84.92	$218.05	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $163.66 / $200.13 / $250.16	Professional	26	$163.66	$200.13	$250.16
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.26 / $166.91 / $193.81	Professional	26	$104.26	$166.91	$193.81
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $112.41 / $146.96 / $167.55	Professional	26	$112.41	$146.96	$167.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.06 / $111.28 / $184.58	Professional	26	$103.06	$111.28	$184.58
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $166.20 / $195.50 / $195.50	Professional	26	$166.20	$195.50	$195.50