Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $234.42	Professional		$38.02	$50.12	$234.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.78 / $36.31	Professional	26	$10.96	$17.78	$36.31
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $34.67 / $69.18	Professional	TC	$22.91	$34.67	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $97.72	Professional		$42.66	$57.54	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $18.20 / $28.18	Professional	26	$12.88	$18.20	$28.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $67.61	Professional	TC	$28.18	$38.90	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $52.48	Professional		$23.99	$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 $67.61 / $83.18 / $95.50	Professional		$67.61	$83.18	$95.50
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $32.36	Professional	26	$18.62	$25.12	$32.36
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 / $72.44 / $91.20	Professional		$43.65	$72.44	$91.20
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.38 / $29.51	Professional	26	$12.59	$21.38	$29.51
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.90 / $52.48 / $63.10	Professional	TC	$30.90	$52.48	$63.10
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $51.29 / $91.20	Professional		$19.05	$51.29	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $44.67 / $77.62	Professional		$42.66	$44.67	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $14.45 / $23.99	Professional	26	$12.88	$14.45	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $54.95	Professional	TC	$28.18	$33.11	$54.95