Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $389.05	Professional		$120.23	$190.55	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $102.33 / $537.03	Professional	26	$52.48	$102.33	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $501.19	Professional		$173.78	$263.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $95.50 / $173.78	Professional	26	$63.10	$95.50	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility	26	$8,709.64	$8,709.64	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $354.81	Professional		$239.88	$295.12	$354.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $147.91 / $234.42	Professional	26	$117.49	$147.91	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $398.11	Professional		$158.49	$263.03	$398.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $147.91 / $218.78	Professional	26	$87.10	$147.91	$218.78
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $346.74	Professional		$107.15	$162.18	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $380.19	Professional		$151.36	$199.53	$380.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $91.20 / $158.49	Professional	26	$54.95	$91.20	$158.49