Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $229.09	Professional		$63.10	$107.15	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $30.20 / $85.11	Professional	26	$16.60	$30.20	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Professional		$87.10	$125.89	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $25.70 / $47.86	Professional	26	$19.95	$25.70	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $257.04	Professional		$109.65	$141.25	$257.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $39.81 / $45.71	Professional	26	$33.88	$39.81	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $158.49	Professional		$75.86	$120.23	$158.49
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $52.48	Professional	26	$23.99	$38.90	$52.48
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $87.10 / $151.36	Professional		$34.67	$87.10	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $275.42	Professional		$70.79	$117.49	$275.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $23.44 / $41.69	Professional	26	$17.38	$23.44	$41.69