Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $46.77 / $46.77	Facility	26	$46.77	$46.77	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $426.58	Professional		$229.09	$281.84	$426.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $52.48 / $93.33	Professional	26	$33.88	$52.48	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $239.88 / $371.54	Professional	TC	$194.98	$239.88	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $316.23 / $562.34	Professional		$239.88	$316.23	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $57.54 / $87.10	Professional	26	$46.77	$57.54	$87.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $257.04 / $478.63	Professional	TC	$190.55	$257.04	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $138.04 / $831.76	Professional		$32.36	$138.04	$831.76
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 $398.11 / $512.86 / $1,000.00	Professional		$398.11	$512.86	$1,000.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $91.20 / $239.88	Professional	26	$58.88	$91.20	$239.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $416.87 / $758.58	Professional	TC	$338.84	$416.87	$758.58
Select Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $707.95	Professional		$269.15	$407.38	$707.95
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $104.71	Professional	26	$42.66	$63.10	$104.71
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $338.84 / $616.60	Professional	TC	$218.78	$338.84	$616.60
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $316.23 / $562.34	Professional		$60.26	$316.23	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $512.86	Professional		$213.80	$295.12	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $43.65 / $72.44	Professional	26	$36.31	$43.65	$72.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $177.83 / $251.19 / $446.68	Professional	TC	$177.83	$251.19	$446.68