Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.14 / $116.14 / $116.14	Facility	26	$116.14	$116.14	$116.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $108.00 / $265.00 / $406.80	Professional	26	$108.00	$265.00	$406.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $211.88 / $259.08 / $323.85	Professional	26	$211.88	$259.08	$323.85
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $132.94 / $217.17 / $253.79	Professional	26	$132.94	$217.17	$253.79
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $129.41 / $192.35 / $219.30	Professional	26	$129.41	$192.35	$219.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $132.94 / $145.02 / $241.70	Professional	26	$132.94	$145.02	$241.70
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $215.60 / $253.70 / $253.70	Professional	26	$215.60	$253.70	$253.70