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 $117.49 / $218.78 / $501.19	Professional		$117.49	$218.78	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $204.17	Professional	26	$51.29	$85.11	$204.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $213.80 / $416.87	Professional	TC	$131.83	$213.80	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $436.52	Professional		$194.98	$302.00	$436.52
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 $141.25 / $229.09 / $346.74	Professional	TC	$141.25	$229.09	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
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 $295.12 / $380.19 / $501.19	Professional		$295.12	$380.19	$501.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $100.00 / $134.90	Professional	26	$75.86	$100.00	$134.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $288.40 / $371.54	Professional	TC	$213.80	$288.40	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $436.52	Professional		$190.55	$295.12	$436.52
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 $138.04 / $186.21 / $295.12	Professional	TC	$138.04	$186.21	$295.12
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $389.05	Professional		$77.62	$229.09	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $398.11	Professional		$190.55	$239.88	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $50.12 / $97.72	Professional	26	$46.77	$50.12	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $181.97 / $316.23	Professional	TC	$141.25	$181.97	$316.23