Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $257.04 / $275.42	Facility	26	$89.13	$257.04	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $436.52	Professional		$125.89	$162.18	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $85.11 / $239.88	Professional	26	$70.79	$85.11	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $64.57 / $125.89	Professional	TC	$52.48	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $331.13	Professional		$173.78	$204.17	$331.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $186.21	Professional	26	$97.72	$114.82	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $87.10 / $117.49	Professional	TC	$74.13	$87.10	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
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 $144.54 / $213.80 / $288.40	Professional		$144.54	$213.80	$288.40
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $123.03 / $165.96	Professional	26	$83.18	$123.03	$165.96
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $91.20 / $120.23	Professional	TC	$61.66	$91.20	$120.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $331.13	Professional		$134.90	$213.80	$331.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $128.82 / $199.53	Professional	26	$77.62	$128.82	$199.53
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $87.10 / $102.33	Professional	TC	$56.23	$87.10	$102.33
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $123.03 / $257.04	Professional		$75.86	$123.03	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $245.47	Professional		$125.89	$165.96	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $93.33 / $138.04	Professional	26	$70.79	$93.33	$138.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $72.44 / $109.65	Professional	TC	$54.95	$72.44	$109.65