Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $165.96 / $371.54	Professional		$74.13	$165.96	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $30.90 / $165.96	Professional	26	$15.14	$30.90	$165.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $58.88 / $131.83 / $323.59	Professional	TC	$58.88	$131.83	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $363.08	Professional		$85.11	$199.53	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $39.81 / $74.13	Professional	26	$22.39	$39.81	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $151.36 / $323.59	Professional	TC	$61.66	$151.36	$323.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $263.03	Professional		$177.83	$245.47	$263.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $37.15 / $91.20	Professional	26	$25.12	$37.15	$91.20
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $181.97 / $229.09	Professional	TC	$138.04	$181.97	$229.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $389.05	Professional		$199.53	$257.04	$389.05
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $34.67 / $58.88	Professional	26	$22.39	$34.67	$58.88
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $186.21 / $331.13	Professional	TC	$165.96	$186.21	$331.13
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $204.17 / $331.13	Professional		$28.18	$204.17	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $269.15	Professional		$109.65	$125.89	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $25.70 / $52.48	Professional	26	$14.13	$25.70	$52.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $91.20 / $107.15 / $239.88	Professional	TC	$91.20	$107.15	$239.88