Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $218.78 / $218.78	Facility	26	$37.15	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $549.54	Professional		$93.33	$158.49	$549.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $54.95 / $138.04	Professional	26	$29.51	$54.95	$138.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $95.50 / $407.38	Professional	TC	$61.66	$95.50	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $218.78	Professional		$102.33	$144.54	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $45.71 / $69.18	Professional	26	$33.11	$45.71	$69.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $100.00 / $154.88	Professional	TC	$69.18	$100.00	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $245.47	Professional		$147.91	$199.53	$245.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $74.13	Professional	26	$45.71	$60.26	$74.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $138.04 / $173.78	Professional	TC	$102.33	$138.04	$173.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $234.42	Professional		$100.00	$162.18	$234.42
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $51.29 / $75.86	Professional	26	$31.62	$51.29	$75.86
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $109.65 / $154.88	Professional	TC	$69.18	$109.65	$154.88
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $190.55	Professional		$46.77	$102.33	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $117.49 / $186.21	Professional		$104.71	$117.49	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $34.67 / $57.54	Professional	26	$32.36	$34.67	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $81.28 / $128.82	Professional	TC	$72.44	$81.28	$128.82