Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $257.04 / $407.38	Professional	26	$100.00	$257.04	$407.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $263.03 / $331.13	Professional	26	$213.80	$263.03	$331.13
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $158.49 / $338.84	Professional	26	$104.71	$158.49	$338.84
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	26	$281.84	$281.84	$281.84
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $204.17 / $218.78	Professional	26	$147.91	$204.17	$218.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $186.21 / $251.19	Professional	26	$125.89	$186.21	$251.19
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $251.19 / $251.19	Professional	26	$213.80	$251.19	$251.19