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 $97.72 / $181.97 / $467.74	Professional		$97.72	$181.97	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $95.50 / $234.42	Professional	26	$50.12	$95.50	$234.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $208.93 / $426.58	Professional	TC	$112.20	$208.93	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $436.52	Professional		$162.18	$295.12	$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 $109.65 / $218.78 / $346.74	Professional	TC	$109.65	$218.78	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
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 $239.88 / $323.59 / $501.19	Professional		$239.88	$323.59	$501.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $134.90	Professional	26	$75.86	$102.33	$134.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $218.78 / $363.08	Professional	TC	$165.96	$218.78	$363.08
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $380.19	Professional		$158.49	$257.04	$380.19
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 $104.71 / $144.54 / $229.09	Professional	TC	$104.71	$144.54	$229.09
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $186.21 / $331.13	Professional		$77.62	$186.21	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $389.05	Professional		$165.96	$234.42	$389.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $50.12 / $97.72	Professional	26	$47.86	$50.12	$97.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $165.96 / $275.42	Professional	TC	$117.49	$165.96	$275.42