Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $229.09 / $794.33	Professional		$64.57	$229.09	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $79.43 / $354.81	Professional	26	$24.55	$79.43	$354.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $81.28 / $446.68	Professional	TC	$58.88	$81.28	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $117.49 / $239.88	Professional		$48.98	$117.49	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $33.11 / $63.10	Professional	26	$13.18	$33.11	$63.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $85.11 / $181.97	Professional	TC	$34.67	$85.11	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $154.88	Professional		$120.23	$138.04	$154.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $38.90 / $45.71	Professional	26	$27.54	$38.90	$45.71
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $102.33 / $109.65	Professional	TC	$91.20	$102.33	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $229.09	Professional		$114.82	$162.18	$229.09
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $63.10	Professional	26	$25.70	$38.90	$63.10
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $93.33 / $169.82	Professional	TC	$87.10	$93.33	$169.82
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $95.50 / $190.55	Professional		$30.20	$95.50	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $151.36	Professional		$58.88	$67.61	$151.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $16.98 / $41.69	Professional	26	$15.49	$16.98	$41.69
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $52.48 / $120.23	Professional	TC	$42.66	$52.48	$120.23