Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $169.82	Professional		$61.66	$83.18	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $93.33 / $316.23	Professional	26	$43.65	$93.33	$316.23
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $54.95	Professional	TC	$21.88	$30.20	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $107.15 / $194.98	Professional		$43.65	$107.15	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $77.62 / $288.40	Professional	26	$30.90	$77.62	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $35.48 / $67.61	Professional	TC	$14.13	$35.48	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $169.82	Professional		$97.72	$151.36	$169.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $91.20 / $346.74	Professional	26	$64.57	$91.20	$346.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $56.23 / $63.10	Professional	TC	$33.88	$56.23	$63.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $204.17	Professional		$91.20	$138.04	$204.17
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $91.20 / $147.91	Professional	26	$58.88	$91.20	$147.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $45.71 / $56.23	Professional	TC	$31.62	$45.71	$56.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $74.13 / $181.97	Professional		$36.31	$74.13	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $154.88	Professional		$54.95	$61.66	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $39.81 / $95.50	Professional	26	$35.48	$39.81	$95.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.39 / $47.86	Professional	TC	$15.85	$22.39	$47.86