Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $562.34 / $562.34	Facility	26	$213.80	$562.34	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $707.95	Professional		$269.15	$338.84	$707.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $169.82 / $199.53 / $602.56	Professional	26	$169.82	$199.53	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $117.49 / $223.87	Professional	TC	$97.72	$117.49	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $707.95	Professional		$363.08	$426.58	$707.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $275.42 / $446.68	Professional	26	$229.09	$275.42	$446.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $125.89 / $158.49 / $213.80	Professional	TC	$125.89	$158.49	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $812.83	Professional		$32.36	$33.11	$812.83
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 $309.03 / $446.68 / $630.96	Professional		$309.03	$446.68	$630.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $194.98 / $288.40 / $398.11	Professional	26	$194.98	$288.40	$398.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $158.49 / $234.42	Professional	TC	$112.20	$158.49	$234.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $707.95	Professional		$281.84	$457.09	$707.95
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $302.00 / $467.74	Professional	26	$181.97	$302.00	$467.74
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $158.49 / $186.21	Professional	TC	$102.33	$158.49	$186.21
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $524.81	Professional		$138.04	$275.42	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $524.81	Professional		$269.15	$354.81	$524.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $223.87 / $323.59	Professional	26	$165.96	$223.87	$323.59
United Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $134.90 / $194.98	Professional	TC	$97.72	$134.90	$194.98