Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $776.25	Professional		$295.12	$331.13	$776.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $338.84 / $776.25	Professional	26	$91.20	$338.84	$776.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $218.78 / $501.19	Professional	TC	$173.78	$218.78	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $478.63 / $912.01	Professional		$186.21	$478.63	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $177.83 / $549.54	Professional	26	$70.79	$177.83	$549.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $295.12 / $616.60	Professional	TC	$114.82	$295.12	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $707.95	Professional		$457.09	$630.96	$707.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $213.80 / $645.65	Professional	26	$151.36	$213.80	$645.65
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $416.87 / $467.74	Professional	TC	$309.03	$416.87	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $933.25	Professional		$436.52	$630.96	$933.25
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $213.80 / $338.84	Professional	26	$138.04	$213.80	$338.84
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $323.59 / $588.84	Professional	TC	$295.12	$323.59	$588.84
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $331.13 / $741.31	Professional		$162.18	$331.13	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $575.44	Professional		$213.80	$281.84	$575.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $93.33 / $223.87	Professional	26	$83.18	$93.33	$223.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $190.55 / $398.11	Professional	TC	$165.96	$190.55	$398.11