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 $186.21 / $331.13 / $1,202.26	Professional		$186.21	$331.13	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $109.65 / $239.88	Professional	26	$61.66	$109.65	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $223.87 / $758.58	Professional	TC	$120.23	$223.87	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $302.00 / $457.09	Professional		$177.83	$302.00	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $79.43 / $138.04	Professional	26	$54.95	$79.43	$138.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $218.78 / $338.84	Professional	TC	$114.82	$218.78	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 / $512.86	Professional		$269.15	$346.74	$512.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $120.23 / $158.49	Professional	26	$91.20	$120.23	$158.49
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $234.42 / $363.08	Professional	TC	$177.83	$234.42	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $407.38	Professional		$173.78	$288.40	$407.38
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $134.90 / $162.18	Professional	26	$61.66	$134.90	$162.18
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $151.36 / $239.88	Professional	TC	$112.20	$151.36	$239.88
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $363.08	Professional		$91.20	$199.53	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $245.47 / $398.11	Professional		$173.78	$245.47	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $60.26 / $117.49	Professional	26	$56.23	$60.26	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $162.18 / $269.15	Professional	TC	$114.82	$162.18	$269.15