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 $194.98 / $467.74 / $1,412.54	Professional		$194.98	$467.74	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $109.65 / $199.53	Professional	26	$64.57	$109.65	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $128.82 / $223.87 / $489.78	Professional	TC	$128.82	$223.87	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $630.96	Professional		$204.17	$302.00	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $93.33 / $165.96	Professional	26	$63.10	$93.33	$165.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $194.98 / $331.13	Professional	TC	$141.25	$194.98	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $537.03	Professional		$323.59	$426.58	$537.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $141.25 / $177.83	Professional	26	$104.71	$141.25	$177.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $213.80 / $288.40 / $354.81	Professional	TC	$213.80	$288.40	$354.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $338.84 / $446.68	Professional		$199.53	$338.84	$446.68
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $120.23 / $177.83	Professional	26	$70.79	$120.23	$177.83
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $223.87 / $275.42	Professional	TC	$134.90	$223.87	$275.42
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $239.88 / $467.74	Professional		$107.15	$239.88	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $467.74 / $831.76	Professional		$218.78	$467.74	$831.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $70.79 / $134.90	Professional	26	$66.07	$70.79	$134.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $389.05 / $758.58	Professional	TC	$147.91	$389.05	$758.58