Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $436.52 / $616.60	Facility		$173.78	$436.52	$616.60
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.15 / $37.15 / $37.15	Facility	26	$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $346.74	Professional		$53.70	$117.49	$346.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $44.67 / $134.90	Professional	26	$28.18	$44.67	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $35.48 / $181.97	Professional	TC	$21.88	$35.48	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $281.84	Professional		$58.88	$91.20	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $43.65 / $66.07	Professional	26	$30.90	$43.65	$66.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $43.65 / $234.42	Professional	TC	$25.70	$43.65	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $147.91	Professional		$81.28	$109.65	$147.91
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $58.88 / $72.44	Professional	26	$41.69	$58.88	$72.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $50.12 / $77.62	Professional	TC	$39.81	$50.12	$77.62
Select Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $204.17	Professional		$61.66	$91.20	$204.17
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $47.86 / $66.07	Professional	26	$30.90	$47.86	$66.07
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $43.65 / $48.98	Professional	TC	$30.20	$43.65	$48.98
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $128.82	Professional		$38.90	$54.95	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $64.57 / $208.93	Professional		$57.54	$64.57	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $33.88 / $57.54	Professional	26	$30.20	$33.88	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $28.18 / $173.78	Professional	TC	$25.70	$28.18	$173.78