Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $426.58 / $426.58	Facility	26	$30.90	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $489.78	Professional		$95.50	$154.88	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $37.15 / $114.82	Professional	26	$22.91	$37.15	$114.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $87.10 / $158.49	Professional	TC	$67.61	$87.10	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $208.93	Professional		$112.20	$141.25	$208.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.54 / $36.31 / $53.70	Professional	26	$27.54	$36.31	$53.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $109.65 / $158.49	Professional	TC	$83.18	$109.65	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $416.87 / $416.87 / $416.87	Facility	26	$416.87	$416.87	$416.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $1,949.84	Professional		$147.91	$213.80	$1,949.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $51.29 / $512.86	Professional	26	$36.31	$51.29	$512.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $158.49 / $1,412.54	Professional	TC	$112.20	$158.49	$1,412.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $194.98	Professional		$95.50	$147.91	$194.98
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $53.70	Professional	26	$23.99	$38.90	$53.70
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $141.25	Professional	TC	$72.44	$109.65	$141.25
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $112.20 / $177.83	Professional		$33.11	$112.20	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $177.83	Professional		$89.13	$120.23	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $28.84 / $48.98	Professional	26	$22.39	$28.84	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $91.20 / $141.25	Professional	TC	$66.07	$91.20	$141.25