Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
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 / $125.89 / $524.81	Professional	26	$97.72	$125.89	$524.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $257.04 / $602.56	Professional	TC	$208.93	$257.04	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $776.25	Professional		$363.08	$436.52	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $144.54 / $223.87	Professional	26	$120.23	$144.54	$223.87
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $288.40 / $549.54	Professional	TC	$223.87	$288.40	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $954.99	Professional		$32.36	$60.26	$954.99
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 / $1,288.25	Professional		$478.63	$575.44	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $199.53 / $234.42	Professional	26	$131.83	$199.53	$234.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $389.05 / $467.74	Professional	TC	$331.13	$389.05	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $602.56 / $707.95	Professional		$323.59	$602.56	$707.95
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $186.21 / $218.78	Professional	26	$102.33	$186.21	$218.78
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $416.87 / $478.63	Professional	TC	$218.78	$416.87	$478.63
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $371.54 / $645.65	Professional		$154.88	$371.54	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $724.44	Professional		$302.00	$380.19	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $125.89 / $190.55	Professional	26	$100.00	$125.89	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $257.04 / $446.68	Professional	TC	$199.53	$257.04	$446.68