Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $2,754.23	Professional		$407.38	$549.54	$2,754.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $134.90 / $323.59	Professional	26	$77.62	$134.90	$323.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $478.63 / $2,398.83	Professional	TC	$354.81	$478.63	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $933.25	Professional		$446.68	$660.69	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $107.15 / $154.88	Professional	26	$97.72	$107.15	$154.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $389.05 / $549.54 / $758.58	Professional	TC	$389.05	$549.54	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $912.01	Professional		$32.36	$60.26	$912.01
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $616.60 / $616.60 / $616.60	Facility	26	$616.60	$616.60	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,000.00	Professional		$660.69	$776.25	$1,000.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $141.25 / $169.82	Professional	26	$120.23	$141.25	$169.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $630.96 / $831.76	Professional	TC	$549.54	$630.96	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,047.13	Professional		$407.38	$776.25	$1,047.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $151.36 / $186.21	Professional	26	$77.62	$151.36	$186.21
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $630.96 / $870.96	Professional	TC	$331.13	$630.96	$870.96
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $562.34 / $812.83	Professional		$112.20	$562.34	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $891.25	Professional		$512.86	$660.69	$891.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $102.33 / $141.25	Professional	26	$89.13	$102.33	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $436.52 / $562.34 / $758.58	Professional	TC	$436.52	$562.34	$758.58