Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $1,230.27	Professional		$208.93	$316.23	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $97.72 / $208.93	Professional	26	$52.48	$97.72	$208.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $229.09 / $416.87	Professional	TC	$158.49	$229.09	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $489.78	Professional		$208.93	$309.03	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $67.61 / $120.23	Professional	26	$46.77	$67.61	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $234.42 / $380.19	Professional	TC	$154.88	$234.42	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 $338.84 / $426.58 / $512.86	Professional		$338.84	$426.58	$512.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $134.90	Professional	26	$75.86	$102.33	$134.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $316.23 / $371.54	Professional	TC	$257.04	$316.23	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $501.19	Professional		$213.80	$331.13	$501.19
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $112.20 / $134.90	Professional	26	$52.48	$112.20	$134.90
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $316.23	Professional	TC	$162.18	$218.78	$316.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $269.15 / $446.68	Professional		$77.62	$269.15	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $416.87	Professional		$199.53	$251.19	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.12 / $97.72	Professional	26	$47.86	$50.12	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $190.55 / $331.13	Professional	TC	$151.36	$190.55	$331.13