Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $115.23 / $115.23 / $115.23	Facility	26	$115.23	$115.23	$115.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.30 / $169.00 / $307.05	Professional	26	$107.30	$169.00	$307.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $209.98 / $256.76 / $320.95	Professional	26	$209.98	$256.76	$320.95
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $131.36 / $221.20 / $284.70	Professional	26	$131.36	$221.20	$284.70
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $127.90 / $191.21 / $218.01	Professional	26	$127.90	$191.21	$218.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $133.02 / $186.42 / $238.84	Professional	26	$133.02	$186.42	$238.84
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $213.70 / $251.40 / $251.40	Professional	26	$213.70	$251.40	$251.40