Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Facility	26	$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $831.76	Professional		$316.23	$380.19	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $128.82 / $239.88	Professional	26	$97.72	$128.82	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $257.04 / $588.84	Professional	TC	$218.78	$257.04	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $741.31	Professional		$363.08	$416.87	$741.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $147.91 / $223.87	Professional	26	$123.03	$147.91	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $281.84 / $501.19	Professional	TC	$218.78	$281.84	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility	26	$1,047.13	$1,047.13	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $676.08	Professional		$478.63	$575.44	$676.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $204.17 / $245.47	Professional	26	$134.90	$204.17	$245.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $380.19 / $457.09	Professional	TC	$323.59	$380.19	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $602.56 / $691.83	Professional		$316.23	$602.56	$691.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $190.55 / $223.87	Professional	26	$102.33	$190.55	$223.87
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $416.87 / $467.74	Professional	TC	$213.80	$416.87	$467.74
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $371.54 / $588.84	Professional		$158.49	$371.54	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $707.95	Professional		$309.03	$380.19	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $128.82 / $194.98	Professional	26	$102.33	$128.82	$194.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $251.19 / $436.52	Professional	TC	$194.98	$251.19	$436.52