Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $398.11	Professional		$128.82	$165.96	$398.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $87.10 / $257.04	Professional	26	$72.44	$87.10	$257.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $83.18 / $177.83	Professional	TC	$54.95	$83.18	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $371.54	Professional		$154.88	$223.87	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $112.20 / $190.55	Professional	26	$97.72	$112.20	$190.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $104.71 / $162.18	Professional	TC	$51.29	$104.71	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $204.17 / $204.17 / $204.17	Facility	26	$204.17	$204.17	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $371.54	Professional		$173.78	$257.04	$371.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $125.89 / $223.87	Professional	26	$85.11	$125.89	$223.87
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $117.49 / $165.96	Professional	TC	$87.10	$117.49	$165.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $302.00	Professional		$154.88	$251.19	$302.00
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $131.83 / $199.53	Professional	26	$79.43	$131.83	$199.53
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $117.49 / $138.04	Professional	TC	$74.13	$117.49	$138.04
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $288.40	Professional		$97.72	$138.04	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $269.15	Professional		$125.89	$186.21	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $91.20 / $138.04	Professional	26	$70.79	$91.20	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $91.20 / $138.04	Professional	TC	$45.71	$91.20	$138.04