Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $81.28 / $81.28	Facility	26	$14.13	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $158.49	Professional		$21.88	$46.77	$158.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.48 / $19.50 / $43.65	Professional	26	$11.48	$19.50	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $69.18	Professional	TC	$23.99	$39.81	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $87.10	Professional		$38.90	$51.29	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.78 / $27.54	Professional	26	$12.59	$17.78	$27.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $33.11 / $56.23	Professional	TC	$24.55	$33.11	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $60.26	Professional		$23.44	$33.11	$60.26
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 $58.88 / $74.13 / $87.10	Professional		$58.88	$74.13	$87.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.78 / $23.44 / $30.20	Professional	26	$17.78	$23.44	$30.20
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $48.98 / $57.54	Professional	TC	$41.69	$48.98	$57.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $64.57 / $81.28	Professional		$38.90	$64.57	$81.28
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $28.84	Professional	26	$12.02	$19.95	$28.84
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.30 / $44.67 / $52.48	Professional	TC	$26.30	$44.67	$52.48
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $41.69 / $77.62	Professional		$18.20	$41.69	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $69.18	Professional		$37.15	$40.74	$69.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $13.80 / $22.39	Professional	26	$12.30	$13.80	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $27.54 / $45.71	Professional	TC	$23.99	$27.54	$45.71