Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $1,174.90	Professional		$190.55	$323.59	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $102.33 / $309.03	Professional	26	$77.62	$102.33	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $660.69	Professional		$288.40	$467.74	$660.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $100.00 / $181.97	Professional	26	$72.44	$100.00	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
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 $436.52 / $549.54 / $724.44	Professional		$436.52	$549.54	$724.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $154.88 / $204.17	Professional	26	$117.49	$154.88	$204.17
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $645.65	Professional		$251.19	$446.68	$645.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $173.78 / $204.17	Professional	26	$81.28	$173.78	$204.17
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $338.84 / $588.84	Professional		$123.03	$338.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $602.56	Professional		$281.84	$346.74	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $77.62 / $151.36	Professional	26	$74.13	$77.62	$151.36