Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,047.13	Professional		$371.54	$457.09	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $131.83 / $239.88	Professional	26	$89.13	$131.83	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $338.84 / $562.34	Professional	TC	$295.12	$338.84	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $758.58	Professional		$457.09	$602.56	$758.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $144.54 / $194.98	Professional	26	$125.89	$144.54	$194.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $446.68 / $588.84	Professional	TC	$338.84	$446.68	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $831.76	Professional		$32.36	$54.95	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $891.25	Professional		$602.56	$707.95	$891.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $181.97 / $218.78	Professional	26	$154.88	$181.97	$218.78
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $524.81 / $691.83	Professional	TC	$457.09	$524.81	$691.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $954.99	Professional		$371.54	$707.95	$954.99
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $194.98 / $234.42	Professional	26	$100.00	$194.98	$234.42
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $524.81 / $724.44	Professional	TC	$275.42	$524.81	$724.44
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $467.74 / $758.58	Professional		$151.36	$467.74	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $758.58	Professional		$489.78	$575.44	$758.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $131.83 / $181.97	Professional	26	$123.03	$131.83	$181.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $436.52 / $575.44	Professional	TC	$363.08	$436.52	$575.44