Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	26	$18.20	$18.20	$18.20
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $33.11 / $251.19 / $275.42	Facility	TC	$33.11	$251.19	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $229.09	Professional		$37.15	$52.48	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $77.62	Professional	26	$12.02	$19.95	$77.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $33.11 / $72.44	Professional	TC	$25.12	$33.11	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $93.33	Professional		$45.71	$61.66	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $21.38 / $31.62	Professional	26	$14.13	$21.38	$31.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $38.90 / $63.10	Professional	TC	$28.18	$38.90	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $91.20	Professional		$29.51	$33.11	$91.20
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 Facility Modifier TC Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	TC	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $104.71	Professional		$63.10	$83.18	$104.71
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $25.12 / $38.02	Professional	26	$18.62	$25.12	$38.02
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $54.95 / $66.07	Professional	TC	$43.65	$54.95	$66.07
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $69.18 / $89.13	Professional		$40.74	$69.18	$89.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.38 / $33.11	Professional	26	$12.59	$21.38	$33.11
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $47.86 / $57.54	Professional	TC	$28.18	$47.86	$57.54
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $50.12 / $85.11	Professional		$19.50	$50.12	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $79.43	Professional		$41.69	$47.86	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.80 / $16.60 / $24.55	Professional	26	$13.80	$16.60	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $30.90 / $53.70	Professional	TC	$28.18	$30.90	$53.70