Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.70 / $138.04 / $147.91	Facility	26	$53.70	$138.04	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $208.93 / $794.33	Professional		$134.90	$208.93	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $52.48 / $131.83	Professional	26	$36.31	$52.48	$131.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $125.89 / $295.12	Professional	TC	$95.50	$125.89	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $331.13	Professional		$162.18	$218.78	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $64.57 / $100.00	Professional	26	$44.67	$64.57	$100.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $151.36 / $229.09	Professional	TC	$112.20	$151.36	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $251.19	Professional		$32.36	$33.11	$251.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $213.80 / $213.80	Facility	26	$213.80	$213.80	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $354.81	Professional		$223.87	$288.40	$354.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $107.15	Professional	26	$66.07	$87.10	$107.15
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $199.53 / $245.47	Professional	TC	$158.49	$199.53	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $331.13	Professional		$144.54	$245.47	$331.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $74.13 / $112.20	Professional	26	$44.67	$74.13	$112.20
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $169.82 / $223.87	Professional	TC	$102.33	$169.82	$223.87
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $173.78 / $295.12	Professional		$67.61	$173.78	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $281.84	Professional		$154.88	$190.55	$281.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $56.23 / $85.11	Professional	26	$47.86	$56.23	$85.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $134.90 / $199.53	Professional	TC	$114.82	$134.90	$199.53