Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $398.11 / $2,818.38	Facility	26	$128.82	$398.11	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $478.63 / $1,258.93	Professional		$208.93	$478.63	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $141.25 / $263.03	Professional	26	$66.07	$141.25	$263.03
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $162.18 / $162.18 / $234.42	Professional	52	$162.18	$162.18	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $251.19 / $562.34	Professional	TC	$123.03	$251.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $630.96	Professional		$186.21	$407.38	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $87.10 / $169.82	Professional	26	$63.10	$87.10	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $257.04 / $524.81	Professional	TC	$117.49	$257.04	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $512.86	Professional		$275.42	$371.54	$512.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $169.82	Professional	26	$97.72	$131.83	$169.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $239.88 / $346.74	Professional	TC	$177.83	$239.88	$346.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $645.65	Professional		$181.97	$316.23	$645.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $162.18 / $194.98	Professional	26	$66.07	$162.18	$194.98
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $154.88 / $245.47	Professional	TC	$114.82	$154.88	$245.47
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $416.87	Professional		$97.72	$199.53	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $645.65	Professional		$186.21	$302.00	$645.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $67.61 / $128.82	Professional	26	$64.57	$67.61	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $173.78 / $426.58	Professional	TC	$123.03	$173.78	$426.58