Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $107.15 / $107.15	Facility	26	$15.49	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $323.59 / $1,096.48	Professional		$213.80	$323.59	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $389.05	Professional	26	$75.86	$107.15	$389.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $295.12	Professional	TC	$138.04	$173.78	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $489.78	Professional		$269.15	$331.13	$489.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $123.03 / $177.83	Professional	26	$93.33	$123.03	$177.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $208.93 / $316.23	Professional	TC	$165.96	$208.93	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
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 $346.74 / $501.19 / $707.95	Professional		$346.74	$501.19	$707.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $169.82 / $229.09	Professional	26	$120.23	$169.82	$229.09
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $223.87 / $323.59 / $478.63	Professional	TC	$223.87	$323.59	$478.63
Select Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $467.74	Professional		$223.87	$354.81	$467.74
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $128.82 / $177.83	Professional	26	$79.43	$128.82	$177.83
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $144.54 / $223.87 / $288.40	Professional	TC	$144.54	$223.87	$288.40
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $234.42 / $389.05	Professional		$109.65	$234.42	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $97.72 / $165.96	Professional	26	$72.44	$97.72	$165.96
United Facility/Professional Professional Modifier TC Low / Median / High Price $134.90 / $177.83 / $275.42	Professional	TC	$134.90	$177.83	$275.42