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 $346.74 / $478.63 / $1,479.11	Professional		$346.74	$478.63	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $154.88 / $281.84	Professional	26	$79.43	$154.88	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $338.84 / $794.33	Professional	TC	$257.04	$338.84	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $776.25	Professional		$323.59	$549.54	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $104.71 / $186.21	Professional	26	$72.44	$104.71	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $416.87 / $660.69	Professional	TC	$239.88	$416.87	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $891.25	Professional		$489.78	$660.69	$891.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $158.49 / $204.17	Professional	26	$117.49	$158.49	$204.17
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $371.54 / $501.19 / $676.08	Professional	TC	$371.54	$501.19	$676.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $933.25	Professional		$316.23	$512.86	$933.25
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $194.98 / $234.42	Professional	26	$81.28	$194.98	$234.42
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $316.23 / $501.19	Professional	TC	$234.42	$316.23	$501.19
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $398.11 / $660.69	Professional		$120.23	$398.11	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $724.44	Professional		$331.13	$407.38	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $77.62 / $151.36	Professional	26	$74.13	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $323.59 / $588.84	Professional	TC	$251.19	$323.59	$588.84