Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $257.04	Professional		$93.33	$114.82	$257.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $69.18 / $144.54	Professional	26	$50.12	$69.18	$144.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $44.67 / $75.86	Professional	TC	$30.90	$44.67	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $309.03	Professional		$102.33	$141.25	$309.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $89.13 / $173.78	Professional	26	$60.26	$89.13	$173.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $47.86 / $81.28	Professional	TC	$34.67	$47.86	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
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 $147.91 / $199.53 / $234.42	Professional		$147.91	$199.53	$234.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $125.89 / $407.38	Professional	26	$93.33	$125.89	$407.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $66.07 / $97.72	Professional	TC	$52.48	$66.07	$97.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $199.53	Professional		$97.72	$162.18	$199.53
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $93.33 / $131.83	Professional	26	$57.54	$93.33	$131.83
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $60.26 / $70.79	Professional	TC	$41.69	$60.26	$70.79
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $165.96	Professional		$56.23	$91.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $158.49	Professional		$87.10	$112.20	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $72.44 / $100.00	Professional	26	$53.70	$72.44	$100.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $60.26	Professional	TC	$27.54	$38.90	$60.26