Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $575.44	Professional		$173.78	$218.78	$575.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $38.90 / $79.43	Professional	26	$26.92	$38.90	$79.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $131.83 / $190.55 / $489.78	Professional	TC	$131.83	$190.55	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $537.03	Professional		$102.33	$269.15	$537.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $50.12 / $77.62	Professional	26	$22.39	$50.12	$77.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $79.43 / $208.93 / $457.09	Professional	TC	$79.43	$208.93	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $331.13 / $389.05	Professional		$295.12	$331.13	$389.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $63.10 / $74.13	Professional	26	$44.67	$63.10	$74.13
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $257.04 / $331.13	Professional	TC	$223.87	$257.04	$331.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $323.59 / $741.31	Professional		$281.84	$323.59	$741.31
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $61.66 / $104.71	Professional	26	$39.81	$61.66	$104.71
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $251.19 / $645.65	Professional	TC	$234.42	$251.19	$645.65
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $269.15 / $478.63	Professional		$47.86	$269.15	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $457.09	Professional		$169.82	$208.93	$457.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $27.54 / $69.18	Professional	26	$25.12	$27.54	$69.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $181.97 / $389.05	Professional	TC	$147.91	$181.97	$389.05