Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $41.69 / $41.69	Facility	26	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $467.74	Professional		$239.88	$302.00	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $48.98 / $89.13	Professional	26	$32.36	$48.98	$89.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $275.42 / $416.87	Professional	TC	$223.87	$275.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $338.84 / $549.54	Professional		$263.03	$338.84	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $51.29 / $70.79	Professional	26	$42.66	$51.29	$70.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $295.12 / $478.63	Professional	TC	$223.87	$295.12	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $562.34	Professional		$32.36	$60.26	$562.34
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	26	$691.83	$691.83	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $562.34 / $616.60	Professional		$446.68	$562.34	$616.60
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $81.28 / $87.10	Professional	26	$53.70	$81.28	$87.10
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $398.11 / $489.78 / $524.81	Professional	TC	$398.11	$489.78	$524.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $794.33	Professional		$302.00	$446.68	$794.33
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $58.88 / $95.50	Professional	26	$38.90	$58.88	$95.50
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $389.05 / $691.83	Professional	TC	$257.04	$389.05	$691.83
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $371.54 / $549.54	Professional		$51.29	$371.54	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $575.44	Professional		$245.47	$323.59	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $40.74 / $66.07	Professional	26	$32.36	$40.74	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $288.40 / $501.19	Professional	TC	$208.93	$288.40	$501.19