Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.56 / $85.56 / $85.56	Facility	26	$85.56	$85.56	$85.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.56 / $128.59 / $265.00	Professional	26	$85.56	$128.59	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $156.06 / $190.82 / $238.53	Professional	26	$156.06	$190.82	$238.53
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $100.73 / $157.34 / $189.00	Professional	26	$100.73	$157.34	$189.00
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $96.10 / $140.15 / $159.78	Professional	26	$96.10	$140.15	$159.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $99.06 / $108.00 / $180.00	Professional	26	$99.06	$108.00	$180.00
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $159.19 / $187.20 / $187.20	Professional	26	$159.19	$187.20	$187.20