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 $190.55 / $309.03 / $1,288.25	Professional		$190.55	$309.03	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $245.47	Professional	26	$53.70	$81.28	$245.47
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $213.80 / $501.19	Professional	TC	$134.90	$213.80	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $562.34	Professional		$190.55	$363.08	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $75.86 / $128.82	Professional	26	$52.48	$75.86	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $263.03 / $446.68	Professional	TC	$131.83	$263.03	$446.68
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 $281.84 / $363.08 / $602.56	Professional		$281.84	$363.08	$602.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $109.65 / $154.88	Professional	26	$81.28	$109.65	$154.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $269.15 / $457.09	Professional	TC	$204.17	$269.15	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $446.68	Professional		$186.21	$295.12	$446.68
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $120.23 / $141.25	Professional	26	$56.23	$120.23	$141.25
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $177.83 / $275.42	Professional	TC	$128.82	$177.83	$275.42
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $229.09 / $407.38	Professional		$83.18	$229.09	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $467.74	Professional		$199.53	$281.84	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $60.26 / $114.82	Professional	26	$56.23	$60.26	$114.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $199.53 / $371.54	Professional	TC	$141.25	$199.53	$371.54