Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $309.03 / $309.03	Facility	26	$63.10	$309.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $912.01	Professional		$316.23	$407.38	$912.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $263.03 / $354.81 / $794.33	Professional	TC	$263.03	$354.81	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $870.96	Professional		$309.03	$489.78	$870.96
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $407.38 / $724.44	Professional	TC	$234.42	$407.38	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $478.63 / $478.63 / $478.63	Facility	26	$478.63	$478.63	$478.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $831.76	Professional		$446.68	$588.84	$831.76
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $501.19 / $724.44	Professional	TC	$380.19	$501.19	$724.44
Select Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $776.25	Professional		$416.87	$660.69	$776.25
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $575.44 / $660.69	Professional	TC	$354.81	$575.44	$660.69
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $501.19 / $758.58	Professional		$75.86	$501.19	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $645.65	Professional		$263.03	$416.87	$645.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $363.08 / $549.54	Professional	TC	$218.78	$363.08	$549.54