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 / $1,778.28	Professional		$281.84	$478.63	$1,778.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $141.25 / $323.59	Professional	26	$83.18	$141.25	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $302.00 / $588.84	Professional	TC	$194.98	$302.00	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $851.14	Professional		$263.03	$524.81	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $102.33 / $181.97	Professional	26	$72.44	$102.33	$181.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $371.54 / $645.65	Professional	TC	$181.97	$371.54	$645.65
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 / $524.81 / $707.95	Professional		$398.11	$524.81	$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
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $371.54 / $501.19	Professional	TC	$275.42	$371.54	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $912.01	Professional		$257.04	$436.52	$912.01
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
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $239.88 / $380.19	Professional	TC	$177.83	$239.88	$380.19
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $575.44	Professional		$120.23	$309.03	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $660.69	Professional		$269.15	$407.38	$660.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $77.62 / $151.36	Professional	26	$72.44	$77.62	$151.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $269.15 / $537.03	Professional	TC	$190.55	$269.15	$537.03