Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $269.15 / $707.95	Facility		$83.18	$269.15	$707.95
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $37.15 / $42.66	Facility	26	$10.00	$37.15	$42.66
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $173.78 / $275.42 / $501.19	Facility	TC	$173.78	$275.42	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $109.65	Professional		$17.78	$30.90	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $10.96 / $37.15	Professional	26	$7.76	$10.96	$37.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.72 / $17.78 / $39.81	Professional	TC	$10.72	$17.78	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $158.49 / $354.81	Facility		$23.44	$158.49	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $52.48	Professional		$20.89	$30.20	$52.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.30 / $18.20	Professional	26	$8.51	$12.30	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $10.96 / $17.78 / $30.20	Professional	TC	$10.96	$17.78	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $42.66	Professional		$19.95	$32.36	$42.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $302.00	Facility		$147.91	$251.19	$302.00
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 Facility Modifier TC Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	TC	$147.91	$147.91	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $48.98	Professional		$36.31	$41.69	$48.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $16.22 / $19.95	Professional	26	$12.02	$16.22	$19.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.70 / $33.11	Professional	TC	$19.95	$25.70	$33.11
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $52.48	Professional		$23.44	$39.81	$52.48
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.80 / $19.50	Professional	26	$7.94	$13.80	$19.50
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $15.49 / $26.30 / $31.62	Professional	TC	$15.49	$26.30	$31.62
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $26.92 / $47.86	Professional		$12.30	$26.92	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $24.55 / $42.66	Professional		$19.05	$24.55	$42.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.33 / $15.49	Professional	26	$8.32	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $10.23 / $15.49 / $27.54	Professional	TC	$10.23	$15.49	$27.54