Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $380.19 / $426.58	Facility	26	$128.82	$380.19	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $478.63 / $1,288.25	Professional		$208.93	$478.63	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $141.25 / $302.00	Professional	26	$66.07	$141.25	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $302.00 / $616.60	Professional	TC	$141.25	$302.00	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $436.52 / $676.08	Professional		$190.55	$436.52	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $169.82	Professional	26	$58.88	$83.18	$169.82
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $123.03 / $302.00 / $537.03	Professional	TC	$123.03	$302.00	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $707.95	Professional		$288.40	$380.19	$707.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $128.82 / $165.96	Professional	26	$95.50	$128.82	$165.96
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $251.19 / $549.54	Professional	TC	$190.55	$251.19	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $660.69	Professional		$186.21	$323.59	$660.69
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $158.49 / $190.55	Professional	26	$64.57	$158.49	$190.55
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $120.23 / $162.18 / $257.04	Professional	TC	$120.23	$162.18	$257.04
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $208.93 / $426.58	Professional		$97.72	$208.93	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $630.96	Professional		$194.98	$323.59	$630.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $63.10 / $123.03	Professional	26	$60.26	$63.10	$123.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $223.87 / $446.68	Professional	TC	$131.83	$223.87	$446.68