Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $467.74	Professional		$39.81	$109.65	$467.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $64.57 / $281.84	Professional	26	$6.76	$64.57	$281.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $70.79 / $263.03	Professional	TC	$48.98	$70.79	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $107.15 / $223.87	Professional		$51.29	$107.15	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $46.77 / $239.88	Professional	26	$19.95	$46.77	$239.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $70.79 / $151.36	Professional	TC	$33.88	$70.79	$151.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $162.18	Professional		$107.15	$125.89	$162.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $281.84	Professional	26	$36.31	$51.29	$281.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $75.86 / $87.10	Professional	TC	$70.79	$75.86	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $234.42	Professional		$114.82	$165.96	$234.42
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $51.29 / $83.18	Professional	26	$33.88	$51.29	$83.18
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $114.82 / $147.91	Professional	TC	$79.43	$114.82	$147.91
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $91.20 / $213.80	Professional		$39.81	$91.20	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $64.57 / $169.82	Professional		$60.26	$64.57	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $24.55 / $66.07	Professional	26	$20.42	$24.55	$66.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $43.65 / $109.65	Professional	TC	$39.81	$43.65	$109.65