Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.72 / $269.15 / $275.42	Facility	26	$97.72	$269.15	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $1,548.82	Professional		$223.87	$371.54	$1,548.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $93.33 / $257.04	Professional	26	$66.07	$93.33	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $281.84 / $1,023.29	Professional	TC	$165.96	$281.84	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $812.83	Professional		$269.15	$446.68	$812.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $100.00 / $173.78	Professional	26	$70.79	$100.00	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $316.23 / $660.69	Professional	TC	$186.21	$316.23	$660.69
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 $398.11 / $512.86 / $977.24	Professional		$398.11	$512.86	$977.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $151.36 / $199.53	Professional	26	$114.82	$151.36	$199.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $363.08 / $776.25	Professional	TC	$281.84	$363.08	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $602.56	Professional		$245.47	$416.87	$602.56
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $169.82 / $204.17	Professional	26	$79.43	$169.82	$204.17
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $251.19 / $398.11	Professional	TC	$169.82	$251.19	$398.11
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $316.23 / $549.54	Professional		$120.23	$316.23	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $616.60	Professional		$251.19	$398.11	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $75.86 / $147.91	Professional	26	$72.44	$75.86	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $309.03 / $501.19	Professional	TC	$173.78	$309.03	$501.19