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 $223.87 / $478.63 / $1,318.26	Professional		$223.87	$478.63	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $204.17 / $512.86	Professional	26	$102.33	$204.17	$512.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $416.87 / $1,000.00	Professional	TC	$302.00	$416.87	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,230.27	Professional		$398.11	$676.08	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $123.03 / $213.80	Professional	26	$85.11	$123.03	$213.80
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $512.86 / $1,023.29	Professional	TC	$302.00	$512.86	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
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 $602.56 / $776.25 / $1,096.48	Professional		$602.56	$776.25	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $186.21 / $245.47	Professional	26	$141.25	$186.21	$245.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $588.84 / $831.76	Professional	TC	$457.09	$588.84	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,202.26	Professional		$389.05	$630.96	$1,202.26
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $234.42 / $275.42	Professional	26	$97.72	$234.42	$275.42
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $389.05 / $616.60	Professional	TC	$288.40	$389.05	$616.60
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $501.19 / $831.76	Professional		$144.54	$501.19	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $977.24	Professional		$416.87	$512.86	$977.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $93.33 / $181.97	Professional	26	$87.10	$93.33	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $323.59 / $407.38 / $851.14	Professional	TC	$323.59	$407.38	$851.14