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 $281.84 / $478.63 / $933.25	Professional		$281.84	$478.63	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $295.12	Professional	26	$85.11	$141.25	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $512.86 / $776.25	Professional		$263.03	$512.86	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $104.71 / $181.97	Professional	26	$75.86	$104.71	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
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 $398.11 / $537.03 / $707.95	Professional		$398.11	$537.03	$707.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $154.88 / $204.17	Professional	26	$117.49	$154.88	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $891.25	Professional		$257.04	$436.52	$891.25
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $194.98 / $229.09	Professional	26	$81.28	$194.98	$229.09
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $575.44	Professional		$117.49	$309.03	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $691.83	Professional		$269.15	$371.54	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $81.28 / $154.88	Professional	26	$77.62	$81.28	$154.88