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 $64.57 / $77.62 / $134.90	Professional		$64.57	$77.62	$134.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $44.67 / $87.10	Professional	26	$38.02	$44.67	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $223.87	Professional		$70.79	$95.50	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $61.66 / $95.50	Professional	26	$41.69	$61.66	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $67.61 / $67.61	Facility	26	$67.61	$67.61	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $173.78	Professional		$107.15	$147.91	$173.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $85.11 / $112.20	Professional	26	$64.57	$85.11	$112.20
Select Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $144.54	Professional		$70.79	$117.49	$144.54
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $64.57 / $89.13	Professional	26	$38.90	$64.57	$89.13
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $64.57 / $120.23	Professional		$43.65	$64.57	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $114.82	Professional		$61.66	$83.18	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $48.98 / $70.79	Professional	26	$37.15	$48.98	$70.79