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 $120.23 / $257.04 / $794.33	Professional		$120.23	$257.04	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $85.11 / $186.21	Professional	26	$51.29	$85.11	$186.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $173.78 / $416.87	Professional	TC	$79.43	$173.78	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $371.54	Professional		$131.83	$245.47	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $69.18 / $123.03	Professional	26	$47.86	$69.18	$123.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $151.36 / $263.03	Professional	TC	$79.43	$151.36	$263.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $338.84	Professional		$199.53	$263.03	$338.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $104.71 / $138.04	Professional	26	$77.62	$104.71	$138.04
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $158.49 / $199.53	Professional	TC	$120.23	$158.49	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $309.03	Professional		$128.82	$218.78	$309.03
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $114.82 / $138.04	Professional	26	$53.70	$114.82	$138.04
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $75.86 / $104.71 / $165.96	Professional	TC	$75.86	$104.71	$165.96
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $134.90 / $281.84	Professional		$79.43	$134.90	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $363.08	Professional		$128.82	$181.97	$363.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $51.29 / $100.00	Professional	26	$48.98	$51.29	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $104.71 / $229.09	Professional	TC	$77.62	$104.71	$229.09