Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.26 / $110.26 / $110.26	Facility	26	$110.26	$110.26	$110.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.62 / $110.26 / $110.26	Professional	26	$94.62	$110.26	$110.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $201.10 / $245.90 / $307.37	Professional	26	$201.10	$245.90	$307.37
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $126.62 / $205.96 / $322.87	Professional	26	$126.62	$205.96	$322.87
Sanford Health Plan Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $184.97 / $210.89	Professional	26	$141.25	$184.97	$210.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $128.22 / $178.66 / $235.77	Professional	26	$128.22	$178.66	$235.77
Wellmark Facility/Professional Professional Modifier 26 Low / Median / High Price $186.10 / $219.00 / $219.00	Professional	26	$186.10	$219.00	$219.00