Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $52.48 / $52.48	Facility	26	$52.48	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $120.23	Professional		$56.23	$66.07	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $45.71 / $87.10	Professional	26	$38.02	$45.71	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $138.04	Professional		$77.62	$89.13	$138.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $64.57 / $95.50	Professional	26	$54.95	$64.57	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $117.49	Professional		$69.18	$85.11	$117.49
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $60.26 / $85.11	Professional	26	$47.86	$60.26	$85.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $107.15	Professional		$58.88	$91.20	$107.15
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.66 / $63.10 / $93.33	Professional	26	$42.66	$63.10	$93.33
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $67.61 / $112.20	Professional		$26.92	$67.61	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $107.15	Professional		$56.23	$75.86	$107.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $52.48 / $77.62	Professional	26	$39.81	$52.48	$77.62