Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $123.03 / $123.03	Facility	26	$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $2,187.76	Professional		$691.83	$1,000.00	$2,187.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $891.25 / $1,995.26	Professional	TC	$630.96	$891.25	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,995.26	Professional		$588.84	$1,023.29	$1,995.26
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $501.19 / $870.96 / $1,778.28	Professional	TC	$501.19	$870.96	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	26	$1,288.25	$1,288.25	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,548.82	Professional		$1,318.26	$1,445.44	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,148.15 / $1,258.93 / $1,412.54	Professional	TC	$1,148.15	$1,258.93	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $2,089.30	Professional		$954.99	$1,659.59	$2,089.30
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $851.14 / $1,318.26 / $1,737.80	Professional	TC	$851.14	$1,318.26	$1,737.80
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $1,202.26 / $1,905.46	Professional		$147.91	$1,202.26	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,659.59	Professional		$831.76	$1,071.52	$1,659.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $741.31 / $954.99 / $1,445.44	Professional	TC	$741.31	$954.99	$1,445.44