Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $56.23 / $208.93	Professional		$37.15	$56.23	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $19.05 / $43.65	Professional	26	$10.00	$19.05	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $34.67 / $81.28	Professional	TC	$26.92	$34.67	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $95.50	Professional		$41.69	$56.23	$95.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.98 / $26.92	Professional	26	$12.30	$16.98	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $67.61	Professional	TC	$27.54	$38.90	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $52.48	Professional		$22.39	$32.36	$52.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $93.33	Professional		$66.07	$81.28	$93.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.91 / $29.51	Professional	26	$17.38	$22.91	$29.51
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $57.54 / $66.07	Professional	TC	$48.98	$57.54	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $91.20	Professional		$43.65	$70.79	$91.20
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $27.54	Professional	26	$12.02	$19.50	$27.54
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.62 / $52.48 / $63.10	Professional	TC	$31.62	$52.48	$63.10
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $51.29 / $89.13	Professional		$17.78	$51.29	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $77.62	Professional		$40.74	$44.67	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $13.80 / $22.39	Professional	26	$12.02	$13.80	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $54.95	Professional	TC	$28.18	$33.11	$54.95