Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $407.38 / $407.38	Facility	26	$77.62	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $1,380.38	Professional		$229.09	$363.08	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $114.82 / $223.87	Professional	26	$60.26	$114.82	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $281.84 / $630.96	Professional	TC	$158.49	$281.84	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $575.44	Professional		$239.88	$407.38	$575.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $81.28 / $141.25	Professional	26	$56.23	$81.28	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $316.23 / $478.63	Professional	TC	$173.78	$316.23	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
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 $380.19 / $489.78 / $602.56	Professional		$380.19	$489.78	$602.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $123.03 / $158.49	Professional	26	$91.20	$123.03	$158.49
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $363.08 / $436.52	Professional	TC	$288.40	$363.08	$436.52
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $575.44	Professional		$229.09	$380.19	$575.44
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $134.90 / $162.18	Professional	26	$63.10	$134.90	$162.18
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $245.47 / $371.54	Professional	TC	$169.82	$245.47	$371.54
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $512.86	Professional		$93.33	$309.03	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $562.34	Professional		$229.09	$323.59	$562.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $61.66 / $117.49	Professional	26	$57.54	$61.66	$117.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $234.42 / $426.58	Professional	TC	$173.78	$234.42	$426.58