Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $537.03	Professional		$169.82	$316.23	$537.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $100.00 / $234.42	Professional	26	$52.48	$100.00	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $218.78 / $446.68	Professional	TC	$123.03	$218.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $524.81	Professional		$173.78	$338.84	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $75.86 / $125.89	Professional	26	$47.86	$75.86	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $239.88 / $389.05	Professional	TC	$123.03	$239.88	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $616.60	Professional		$263.03	$346.74	$616.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $154.88	Professional	26	$74.13	$97.72	$154.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $251.19 / $457.09	Professional	TC	$186.21	$251.19	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $416.87	Professional		$169.82	$275.42	$416.87
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $109.65 / $138.04	Professional	26	$51.29	$109.65	$138.04
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $162.18 / $269.15	Professional	TC	$120.23	$162.18	$269.15
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $354.81	Professional		$77.62	$208.93	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $436.52	Professional		$194.98	$275.42	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $58.88 / $95.50	Professional	26	$48.98	$58.88	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $204.17 / $338.84	Professional	TC	$144.54	$204.17	$338.84