Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,000.00	Professional		$354.81	$478.63	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $104.71 / $158.49	Professional	26	$69.18	$104.71	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $891.25	Professional		$426.58	$562.34	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $100.00 / $144.54	Professional	26	$83.18	$100.00	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $851.14	Professional		$602.56	$724.44	$851.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $138.04 / $162.18	Professional	26	$104.71	$138.04	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $977.24	Professional		$407.38	$630.96	$977.24
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $112.20 / $162.18	Professional	26	$69.18	$112.20	$162.18
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $562.34 / $776.25	Professional		$109.65	$562.34	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $398.11 / $776.25	Professional		$346.74	$398.11	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $64.57 / $128.82	Professional	26	$63.10	$64.57	$128.82