Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $724.44 / $724.44	Facility	26	$128.82	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $2,137.96	Professional		$331.13	$501.19	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $204.17 / $467.74	Professional	26	$102.33	$204.17	$467.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $338.84 / $724.44	Professional	TC	$223.87	$338.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $1,148.15	Professional		$309.03	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $141.25 / $229.09	Professional	26	$97.72	$141.25	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $398.11 / $1,000.00	Professional	TC	$208.93	$398.11	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
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 $467.74 / $602.56 / $851.14	Professional		$467.74	$602.56	$851.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $199.53 / $263.03	Professional	26	$151.36	$199.53	$263.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $316.23 / $426.58 / $575.44	Professional	TC	$316.23	$426.58	$575.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,096.48	Professional		$302.00	$524.81	$1,096.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $251.19 / $295.12	Professional	26	$102.33	$251.19	$295.12
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $269.15 / $426.58	Professional	TC	$199.53	$269.15	$426.58
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $354.81 / $691.83	Professional		$154.88	$354.81	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $891.25	Professional		$316.23	$457.09	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $107.15 / $204.17	Professional	26	$100.00	$107.15	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $309.03 / $691.83	Professional	TC	$218.78	$309.03	$691.83