Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $446.68	Professional		$125.89	$245.47	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $117.49 / $165.96	Professional	26	$72.44	$117.49	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $107.15 / $158.49	Professional	TC	$52.48	$107.15	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $275.42 / $501.19	Professional		$131.83	$275.42	$501.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $162.18 / $288.40	Professional	26	$64.57	$162.18	$288.40
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $123.03 / $245.47	Professional	TC	$66.07	$123.03	$245.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $295.12 / $446.68	Professional		$257.04	$295.12	$446.68
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $173.78 / $223.87	Professional	26	$134.90	$173.78	$223.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $117.49 / $141.25 / $229.09	Professional	TC	$117.49	$141.25	$229.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $354.81 / $524.81	Professional		$234.42	$354.81	$524.81
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $181.97 / $302.00	Professional	26	$114.82	$181.97	$302.00
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $128.82 / $223.87	Professional	TC	$104.71	$128.82	$223.87
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $213.80 / $407.38	Professional		$100.00	$213.80	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $436.52	Professional		$141.25	$173.78	$436.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $83.18 / $204.17	Professional	26	$72.44	$83.18	$204.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $89.13 / $190.55	Professional	TC	$64.57	$89.13	$190.55