Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $302.00	Professional		$89.13	$134.90	$302.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $208.93 / $537.03	Professional	26	$33.11	$208.93	$537.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $63.10 / $165.96	Professional	TC	$40.74	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $281.84	Professional		$61.66	$144.54	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $61.66 / $97.72	Professional	26	$25.70	$61.66	$97.72
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $89.13 / $181.97	Professional	TC	$37.15	$89.13	$181.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $213.80	Professional		$128.82	$186.21	$213.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $70.79 / $91.20	Professional	26	$43.65	$70.79	$91.20
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $107.15 / $120.23	Professional	TC	$85.11	$107.15	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $275.42	Professional		$123.03	$177.83	$275.42
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $100.00	Professional	26	$39.81	$61.66	$100.00
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $114.82 / $177.83	Professional	TC	$81.28	$114.82	$177.83
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $112.20 / $234.42	Professional		$50.12	$112.20	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $194.98	Professional		$72.44	$75.86	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $33.88 / $79.43	Professional	26	$24.55	$33.88	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $50.12 / $112.20	Professional	TC	$41.69	$50.12	$112.20