Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	26	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $588.84	Professional		$138.04	$194.98	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $302.00	Professional		$158.49	$199.53	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $870.96 / $870.96 / $870.96	Facility	26	$870.96	$870.96	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $891.25	Professional		$234.42	$323.59	$891.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $316.23	Professional		$144.54	$234.42	$316.23
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $165.96 / $263.03	Professional		$47.86	$165.96	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $169.82 / $251.19	Professional		$134.90	$169.82	$251.19