Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $331.13 / $331.13	Facility	26	$70.79	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $933.25	Professional		$147.91	$288.40	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $104.71 / $213.80	Professional	26	$51.29	$104.71	$213.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $154.88 / $436.52	Professional	TC	$95.50	$154.88	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $436.52	Professional		$147.91	$275.42	$436.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $70.79 / $117.49	Professional	26	$47.86	$70.79	$117.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $204.17 / $323.59	Professional	TC	$95.50	$204.17	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
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 $218.78 / $295.12 / $524.81	Professional		$218.78	$295.12	$524.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $97.72 / $144.54	Professional	26	$74.13	$97.72	$144.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $194.98 / $380.19	Professional	TC	$144.54	$194.98	$380.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $331.13	Professional		$144.54	$234.42	$331.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $109.65 / $131.83	Professional	26	$51.29	$109.65	$131.83
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $125.89 / $199.53	Professional	TC	$93.33	$125.89	$199.53
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $162.18 / $302.00	Professional		$75.86	$162.18	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $398.11	Professional		$144.54	$234.42	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $54.95 / $104.71	Professional	26	$48.98	$54.95	$104.71
United Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $158.49 / $269.15	Professional	TC	$95.50	$158.49	$269.15