Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $1,174.90	Professional		$169.82	$275.42	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $77.62 / $177.83	Professional	26	$51.29	$77.62	$177.83
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $181.97 / $416.87	Professional	TC	$120.23	$181.97	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $524.81	Professional		$177.83	$331.13	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $125.89	Professional	26	$53.70	$77.62	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $234.42 / $398.11	Professional	TC	$120.23	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
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 $269.15 / $346.74 / $630.96	Professional		$269.15	$346.74	$630.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $158.49	Professional	26	$83.18	$112.20	$158.49
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $245.47 / $467.74	Professional	TC	$181.97	$245.47	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $398.11	Professional		$173.78	$281.84	$398.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $141.25	Professional	26	$57.54	$123.03	$141.25
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $158.49 / $251.19	Professional	TC	$117.49	$158.49	$251.19
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $363.08	Professional		$85.11	$204.17	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $416.87	Professional		$173.78	$288.40	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $60.26 / $114.82	Professional	26	$54.95	$60.26	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $194.98 / $338.84	Professional	TC	$120.23	$194.98	$338.84