Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $275.42 / $707.95	Facility		$51.29	$275.42	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $234.42	Professional		$72.44	$117.49	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $30.20 / $67.61	Professional	26	$20.89	$30.20	$67.61
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $89.13 / $177.83	Professional	TC	$48.98	$89.13	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $229.09	Professional		$70.79	$128.82	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $57.54	Professional	26	$28.84	$38.02	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $93.33 / $165.96	Professional	TC	$42.66	$93.33	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $218.78	Professional		$158.49	$190.55	$218.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $50.12 / $162.18	Professional	26	$38.90	$50.12	$162.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $144.54 / $158.49	Professional	TC	$112.20	$144.54	$158.49
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $213.80	Professional		$114.82	$173.78	$213.80
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $57.54	Professional	26	$26.30	$41.69	$57.54
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $120.23 / $154.88	Professional	TC	$89.13	$120.23	$154.88
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $141.25 / $208.93	Professional		$39.81	$141.25	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $181.97	Professional		$74.13	$109.65	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $28.18 / $46.77	Professional	26	$25.70	$28.18	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $81.28 / $134.90	Professional	TC	$47.86	$81.28	$134.90