Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.41 / $92.41 / $92.41	Facility	26	$92.41	$92.41	$92.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $92.41 / $103.49 / $265.00	Professional	26	$92.41	$103.49	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $168.74 / $206.34 / $257.92	Professional	26	$168.74	$206.34	$257.92
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $107.36 / $169.04 / $204.96	Professional	26	$107.36	$169.04	$204.96
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $102.93 / $153.19 / $174.66	Professional	26	$102.93	$153.19	$174.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $107.36 / $117.12 / $195.20	Professional	26	$107.36	$117.12	$195.20
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $173.30 / $203.90 / $203.90	Professional	26	$173.30	$203.90	$203.90