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 $457.09 / $602.56 / $2,818.38	Professional		$457.09	$602.56	$2,818.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $199.53 / $338.84	Professional	26	$107.15	$199.53	$338.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $446.68 / $1,071.52	Professional	TC	$302.00	$446.68	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $1,258.93	Professional		$457.09	$776.25	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $131.83 / $234.42	Professional	26	$89.13	$131.83	$234.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $616.60 / $1,122.02	Professional	TC	$354.81	$616.60	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $776.25	Professional		$32.36	$33.11	$776.25
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 $691.83 / $891.25 / $1,258.93	Professional		$691.83	$891.25	$1,258.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $194.98 / $257.04	Professional	26	$147.91	$194.98	$257.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $691.83 / $977.24	Professional	TC	$537.03	$691.83	$977.24
Select Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,380.38	Professional		$436.52	$707.95	$1,380.38
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $239.88 / $288.40	Professional	26	$100.00	$239.88	$288.40
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $467.74 / $741.31	Professional	TC	$331.13	$467.74	$741.31
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $562.34 / $977.24	Professional		$151.36	$562.34	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,122.02	Professional		$478.63	$588.84	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $97.72 / $190.55	Professional	26	$91.20	$97.72	$190.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $478.63 / $912.01	Professional	TC	$380.19	$478.63	$912.01