Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $74.13	Professional		$25.70	$33.11	$74.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.88 / $23.44	Professional	26	$7.94	$12.88	$23.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $21.88 / $42.66	Professional	TC	$17.78	$21.88	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $66.07	Professional		$29.51	$39.81	$66.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.88 / $20.42	Professional	26	$9.55	$12.88	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $26.30 / $43.65	Professional	TC	$19.05	$26.30	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $35.48	Professional		$17.78	$32.36	$35.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $66.07	Professional		$45.71	$56.23	$66.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.20 / $23.44	Professional	26	$13.49	$18.20	$23.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $38.02 / $42.66	Professional	TC	$31.62	$38.02	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $61.66	Professional		$29.51	$48.98	$61.66
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.49 / $20.89	Professional	26	$9.33	$15.49	$20.89
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $33.88 / $40.74	Professional	TC	$19.95	$33.88	$40.74
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $34.67 / $58.88	Professional		$13.80	$34.67	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $52.48	Professional		$28.84	$31.62	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $10.47 / $16.98	Professional	26	$8.32	$10.47	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $21.38 / $35.48	Professional	TC	$19.05	$21.38	$35.48