Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.11 / $70.11 / $70.11	Facility	26	$70.11	$70.11	$70.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.11 / $100.00 / $291.50	Professional	26	$70.11	$100.00	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.13 / $156.69 / $195.86	Professional	26	$128.13	$156.69	$195.86
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $78.86 / $129.82 / $150.55	Professional	26	$78.86	$129.82	$150.55
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $87.85 / $116.55 / $144.51	Professional	26	$87.85	$116.55	$144.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.86 / $129.82 / $143.38	Professional	26	$78.86	$129.82	$143.38
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $130.90 / $154.00 / $154.00	Professional	26	$130.90	$154.00	$154.00