Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $398.11 / $398.11	Facility	26	$70.79	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $1,148.15	Professional		$229.09	$354.81	$1,148.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $100.00 / $229.09	Professional	26	$57.54	$100.00	$229.09
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $251.19 / $537.03	Professional	TC	$158.49	$251.19	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $501.19	Professional		$208.93	$331.13	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $72.44 / $128.82	Professional	26	$51.29	$72.44	$128.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $257.04 / $380.19	Professional	TC	$151.36	$257.04	$380.19
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 $338.84 / $436.52 / $512.86	Professional		$338.84	$436.52	$512.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $112.20 / $144.54	Professional	26	$83.18	$112.20	$144.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $316.23 / $371.54	Professional	TC	$257.04	$316.23	$371.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $512.86	Professional		$218.78	$338.84	$512.86
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $123.03 / $147.91	Professional	26	$57.54	$123.03	$147.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $218.78 / $316.23	Professional	TC	$162.18	$218.78	$316.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $269.15 / $457.09	Professional		$85.11	$269.15	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $269.15 / $436.52	Professional		$204.17	$269.15	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $54.95 / $107.15	Professional	26	$52.48	$54.95	$107.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.36 / $204.17 / $363.08	Professional	TC	$151.36	$204.17	$363.08