Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $85.11 / $85.11	Facility	26	$85.11	$85.11	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,000.00	Professional		$371.54	$512.86	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $77.62 / $173.78	Professional	26	$47.86	$77.62	$173.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $380.19 / $562.34	Professional	TC	$302.00	$380.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $870.96	Professional		$446.68	$602.56	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $104.71 / $141.25	Professional	26	$85.11	$104.71	$141.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $489.78 / $741.31	Professional	TC	$363.08	$489.78	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $60.26 / $794.33	Professional		$32.36	$60.26	$794.33
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	26	$2,398.83	$2,398.83	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,000.00	Professional		$645.65	$933.25	$1,000.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $162.18 / $173.78	Professional	26	$109.65	$162.18	$173.78
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $776.25 / $831.76	Professional	TC	$537.03	$776.25	$831.76
Select Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,122.02	Professional		$436.52	$645.65	$1,122.02
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $117.49 / $194.98	Professional	26	$79.43	$117.49	$194.98
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $524.81 / $912.01	Professional	TC	$354.81	$524.81	$912.01
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $524.81 / $776.25	Professional		$107.15	$524.81	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $812.83	Professional		$407.38	$524.81	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $81.28 / $141.25	Professional	26	$66.07	$81.28	$141.25
United Facility/Professional Professional Modifier TC Low / Median / High Price $338.84 / $426.58 / $676.08	Professional	TC	$338.84	$426.58	$676.08