Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $1,412.54	Professional		$204.17	$288.40	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $67.61 / $141.25	Professional	26	$51.29	$67.61	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $218.78 / $389.05	Professional	TC	$158.49	$218.78	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $549.54	Professional		$239.88	$371.54	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $125.89	Professional	26	$48.98	$70.79	$125.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $302.00 / $436.52	Professional	TC	$181.97	$302.00	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
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 $371.54 / $478.63 / $588.84	Professional		$371.54	$478.63	$588.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $107.15 / $138.04	Professional	26	$79.43	$107.15	$138.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $371.54 / $457.09	Professional	TC	$288.40	$371.54	$457.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $549.54	Professional		$223.87	$363.08	$549.54
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $117.49 / $138.04	Professional	26	$54.95	$117.49	$138.04
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $245.47 / $363.08	Professional	TC	$169.82	$245.47	$363.08
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $302.00 / $489.78	Professional		$81.28	$302.00	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $501.19	Professional		$223.87	$302.00	$501.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $52.48 / $102.33	Professional	26	$48.98	$52.48	$102.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $245.47 / $426.58	Professional	TC	$173.78	$245.47	$426.58