Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $103.89 / $103.89 / $103.89	Facility	26	$103.89	$103.89	$103.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $155.69 / $265.00	Professional	26	$100.00	$155.69	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $187.78 / $229.61 / $287.01	Professional	26	$187.78	$229.61	$287.01
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $119.12 / $191.85 / $227.41	Professional	26	$119.12	$191.85	$227.41
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $114.28 / $170.79 / $194.72	Professional	26	$114.28	$170.79	$194.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $119.12 / $141.63 / $227.41	Professional	26	$119.12	$141.63	$227.41
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $193.20 / $227.30 / $227.30	Professional	26	$193.20	$227.30	$227.30