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 / $1,737.80	Professional		$281.84	$478.63	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $123.03 / $257.04	Professional	26	$81.28	$123.03	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $302.00 / $602.56	Professional	TC	$194.98	$302.00	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $537.03 / $831.76	Professional		$263.03	$537.03	$831.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $100.00 / $177.83	Professional	26	$69.18	$100.00	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $181.97 / $398.11 / $691.83	Professional	TC	$181.97	$398.11	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
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 $389.05 / $524.81 / $891.25	Professional		$389.05	$524.81	$891.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $151.36 / $199.53	Professional	26	$114.82	$151.36	$199.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $371.54 / $691.83	Professional	TC	$275.42	$371.54	$691.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $912.01	Professional		$257.04	$426.58	$912.01
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $190.55 / $223.87	Professional	26	$77.62	$190.55	$223.87
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 $114.82 / $309.03 / $537.03	Professional		$114.82	$309.03	$537.03
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 $70.79 / $75.86 / $147.91	Professional	26	$70.79	$75.86	$147.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $288.40 / $537.03	Professional	TC	$190.55	$288.40	$537.03