Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $831.76	Professional		$173.78	$239.88	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $40.74 / $107.15	Professional	26	$33.88	$40.74	$107.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $173.78 / $346.74	Professional	TC	$138.04	$173.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $371.54	Professional		$213.80	$288.40	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $46.77 / $79.43	Professional	26	$37.15	$46.77	$79.43
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $169.82 / $234.42 / $316.23	Professional	TC	$169.82	$234.42	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
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 $218.78 / $269.15 / $363.08	Professional		$218.78	$269.15	$363.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $54.95 / $407.38	Professional	26	$40.74	$54.95	$407.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $223.87 / $288.40	Professional	TC	$173.78	$223.87	$288.40
Select Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $489.78	Professional		$177.83	$331.13	$489.78
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $69.18 / $102.33	Professional	26	$36.31	$69.18	$102.33
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $263.03 / $389.05	Professional	TC	$141.25	$263.03	$389.05
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $213.80 / $331.13	Professional		$51.29	$213.80	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $407.38	Professional		$173.78	$239.88	$407.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $41.69 / $67.61	Professional	26	$33.11	$41.69	$67.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $199.53 / $331.13	Professional	TC	$138.04	$199.53	$331.13