Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $549.54 / $549.54	Facility	26	$107.15	$549.54	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $1,659.59	Professional		$257.04	$389.05	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $302.00	Professional	26	$77.62	$95.50	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $295.12 / $891.25	Professional	TC	$169.82	$295.12	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $724.44	Professional		$275.42	$436.52	$724.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $186.21	Professional	26	$75.86	$107.15	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $309.03 / $562.34	Professional	TC	$190.55	$309.03	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $616.60	Professional		$32.36	$33.11	$616.60
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 $407.38 / $524.81 / $776.25	Professional		$407.38	$524.81	$776.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $158.49 / $218.78	Professional	26	$120.23	$158.49	$218.78
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $371.54 / $575.44	Professional	TC	$288.40	$371.54	$575.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $616.60	Professional		$251.19	$426.58	$616.60
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $177.83 / $208.93	Professional	26	$81.28	$177.83	$208.93
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 $128.82 / $316.23 / $575.44	Professional		$128.82	$316.23	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $616.60	Professional		$257.04	$371.54	$616.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $83.18 / $154.88	Professional	26	$79.43	$83.18	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $257.04 / $457.09	Professional	TC	$177.83	$257.04	$457.09