Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $977.24	Professional		$218.78	$302.00	$977.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $223.87 / $489.78	Professional	26	$128.82	$223.87	$489.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $109.65 / $141.25 / $288.40	Professional	TC	$109.65	$141.25	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $380.19 / $524.81	Professional		$338.84	$380.19	$524.81
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $208.93 / $281.84	Professional	26	$181.97	$208.93	$281.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $154.88 / $173.78 / $245.47	Professional	TC	$154.88	$173.78	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $524.81	Professional		$32.36	$60.26	$524.81
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 $426.58 / $501.19 / $588.84	Professional		$426.58	$501.19	$588.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $263.03 / $316.23	Professional	26	$223.87	$263.03	$316.23
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $234.42 / $263.03	Professional	TC	$204.17	$234.42	$263.03
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $630.96	Professional		$269.15	$512.86	$630.96
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $281.84 / $338.84	Professional	26	$144.54	$281.84	$338.84
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $229.09 / $281.84	Professional	TC	$125.89	$229.09	$281.84
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $269.15 / $537.03	Professional		$186.21	$269.15	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $512.86	Professional		$323.59	$371.54	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $190.55 / $263.03	Professional	26	$177.83	$190.55	$263.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $173.78 / $234.42	Professional	TC	$158.49	$173.78	$234.42