Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $467.74	Professional		$186.21	$245.47	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $64.57 / $134.90	Professional	26	$51.29	$64.57	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $173.78 / $354.81	Professional	TC	$131.83	$173.78	$354.81
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 $51.29 / $72.44 / $125.89	Professional	26	$51.29	$72.44	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $263.03 / $446.68	Professional	TC	$134.90	$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 $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $144.54	Professional	26	$83.18	$112.20	$144.54
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 / $302.00 / $436.52	Professional		$186.21	$302.00	$436.52
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $141.25	Professional	26	$57.54	$123.03	$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 $85.11 / $229.09 / $407.38	Professional		$85.11	$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 $51.29 / $54.95 / $107.15	Professional	26	$51.29	$54.95	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $199.53 / $371.54	Professional	TC	$144.54	$199.53	$371.54