Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $169.82	Professional		$26.92	$36.31	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.72 / $21.38	Professional	26	$7.08	$10.72	$21.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $25.12 / $54.95	Professional	TC	$19.05	$25.12	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $64.57	Professional		$29.51	$39.81	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.48 / $17.78	Professional	26	$8.13	$11.48	$17.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $27.54 / $45.71	Professional	TC	$20.42	$27.54	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $38.90	Professional		$14.79	$32.36	$38.90
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 / $67.61	Professional		$45.71	$56.23	$67.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.49 / $19.95	Professional	26	$11.75	$15.49	$19.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $41.69 / $47.86	Professional	TC	$33.88	$41.69	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$50.12	$60.26
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $18.20	Professional	26	$7.94	$13.18	$18.20
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $42.66	Professional	TC	$21.88	$36.31	$42.66
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $35.48 / $60.26	Professional		$12.02	$35.48	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $52.48	Professional		$28.18	$31.62	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.91 / $14.79	Professional	26	$7.41	$8.91	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.39 / $38.90	Professional	TC	$20.42	$22.39	$38.90