Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $269.15	Professional		$91.20	$128.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $263.03	Professional		$100.00	$151.36	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
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 $181.97 / $213.80 / $251.19	Professional		$181.97	$213.80	$251.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $251.19	Professional		$123.03	$190.55	$251.19
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $144.54 / $239.88	Professional		$38.90	$144.54	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $213.80	Professional		$102.33	$123.03	$213.80