Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,584.89	Professional		$251.19	$478.63	$1,584.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $123.03 / $316.23	Professional	26	$70.79	$123.03	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $288.40 / $549.54	Professional	TC	$181.97	$288.40	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $794.33	Professional		$239.88	$512.86	$794.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $75.86 / $158.49	Professional	26	$58.88	$75.86	$158.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $380.19 / $707.95	Professional	TC	$169.82	$380.19	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $891.25	Professional		$354.81	$478.63	$891.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $123.03 / $144.54	Professional	26	$97.72	$123.03	$144.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $346.74 / $758.58	Professional	TC	$257.04	$346.74	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $812.83	Professional		$234.42	$389.05	$812.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $162.18 / $194.98	Professional	26	$67.61	$162.18	$194.98
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $223.87 / $354.81	Professional	TC	$165.96	$223.87	$354.81
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $288.40 / $512.86	Professional		$100.00	$288.40	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $416.87 / $660.69	Professional		$239.88	$416.87	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $120.23	Professional	26	$50.12	$66.07	$120.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $302.00 / $501.19	Professional	TC	$173.78	$302.00	$501.19