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 $234.42 / $478.63 / $1,230.27	Professional		$234.42	$478.63	$1,230.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $208.93 / $489.78	Professional	26	$102.33	$208.93	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $380.19 / $1,071.52	Professional	TC	$302.00	$380.19	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,202.26	Professional		$380.19	$630.96	$1,202.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $218.78	Professional	26	$85.11	$125.89	$218.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $478.63 / $977.24	Professional	TC	$275.42	$478.63	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
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 $562.34 / $724.44 / $1,023.29	Professional		$562.34	$724.44	$1,023.29
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 $426.58 / $549.54 / $776.25	Professional	TC	$426.58	$549.54	$776.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,122.02	Professional		$363.08	$602.56	$1,122.02
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 $269.15 / $363.08 / $575.44	Professional	TC	$269.15	$363.08	$575.44
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $457.09 / $758.58	Professional		$144.54	$457.09	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $933.25	Professional		$389.05	$501.19	$933.25
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 $295.12 / $380.19 / $831.76	Professional	TC	$295.12	$380.19	$831.76