Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $933.25	Professional		$354.81	$489.78	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $64.57 / $125.89	Professional	26	$52.48	$64.57	$125.89
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $28.18 / $95.50 / $95.50	Professional	52	$28.18	$95.50	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $416.87 / $776.25	Professional	TC	$302.00	$416.87	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $912.01	Professional		$501.19	$630.96	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $102.33 / $144.54	Professional	26	$75.86	$102.33	$144.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $537.03 / $758.58	Professional	TC	$426.58	$537.03	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $954.99	Professional		$416.87	$616.60	$954.99
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $134.90	Professional	26	$63.10	$91.20	$134.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $524.81 / $812.83	Professional	TC	$354.81	$524.81	$812.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $912.01	Professional		$416.87	$616.60	$912.01
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $91.20 / $147.91	Professional	26	$58.88	$91.20	$147.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $537.03 / $616.60	Professional	TC	$363.08	$537.03	$616.60
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $524.81 / $794.33	Professional		$83.18	$524.81	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $812.83	Professional		$389.05	$537.03	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $77.62 / $109.65	Professional	26	$53.70	$77.62	$109.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $331.13 / $457.09 / $707.95	Professional	TC	$331.13	$457.09	$707.95