Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $100.00 / $245.47	Professional	26	$56.23	$100.00	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $208.93 / $263.03	Professional	26	$169.82	$208.93	$263.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $275.42	Professional	26	$81.28	$128.82	$275.42
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Professional	26	$223.87	$223.87	$223.87
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $165.96 / $173.78	Professional	26	$117.49	$165.96	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $147.91 / $204.17	Professional	26	$102.33	$147.91	$204.17
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $204.17 / $204.17	Professional	26	$173.78	$204.17	$204.17