Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $89.13 / $389.05	Professional		$51.29	$89.13	$389.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.25 / $34.67 / $223.87	Professional	26	$5.25	$34.67	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $40.74 / $67.61	Professional	TC	$26.92	$40.74	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $91.20 / $162.18	Professional		$46.77	$91.20	$162.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $39.81 / $112.20	Professional	26	$26.30	$39.81	$112.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $44.67 / $87.10	Professional	TC	$19.50	$44.67	$87.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $93.33	Professional		$70.79	$85.11	$93.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $37.15 / $42.66	Professional	26	$28.84	$37.15	$42.66
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $46.77 / $51.29	Professional	TC	$41.69	$46.77	$51.29
Select Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $147.91	Professional		$69.18	$100.00	$147.91
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $40.74 / $64.57	Professional	26	$26.92	$40.74	$64.57
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $60.26 / $85.11	Professional	TC	$41.69	$60.26	$85.11
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $56.23 / $120.23	Professional		$33.11	$56.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $123.03	Professional		$40.74	$61.66	$123.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $28.84 / $57.54	Professional	26	$16.22	$28.84	$57.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $27.54 / $70.79	Professional	TC	$23.99	$27.54	$70.79