Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $10,964.78 / $10,964.78	Facility	26	$380.19	$10,964.78	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,621.81	Professional		$812.83	$1,148.15	$1,621.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $331.13 / $831.76	Professional	26	$263.03	$331.13	$831.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $549.54 / $831.76 / $1,174.90	Professional	TC	$549.54	$831.76	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,819.70	Professional		$1,380.38	$1,513.56	$1,819.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $446.68 / $537.03	Professional	26	$398.11	$446.68	$537.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $933.25 / $1,071.52 / $1,318.26	Professional	TC	$933.25	$1,071.52	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $512.86 / $2,089.30	Professional		$32.36	$512.86	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	26	$5,248.07	$5,248.07	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,818.38	Professional		$1,949.84	$2,511.89	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $549.54 / $812.83 / $1,819.70	Professional	26	$549.54	$812.83	$1,819.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,412.54 / $1,737.80 / $1,905.46	Professional	TC	$1,412.54	$1,737.80	$1,905.46
Select Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $2,454.71	Professional		$954.99	$1,778.28	$2,454.71
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $524.81 / $724.44	Professional	26	$281.84	$524.81	$724.44
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $660.69 / $1,148.15 / $1,737.80	Professional	TC	$660.69	$1,148.15	$1,737.80
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,122.02 / $1,621.81	Professional		$467.74	$1,122.02	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $1,621.81	Professional		$891.25	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $380.19 / $467.74	Professional	26	$295.12	$380.19	$467.74
United Facility/Professional Professional Modifier TC Low / Median / High Price $741.31 / $954.99 / $1,148.15	Professional	TC	$741.31	$954.99	$1,148.15