Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $14.13 / $14.13	Facility	26	$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $213.80	Professional		$36.31	$47.86	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $19.05 / $34.67	Professional	26	$10.96	$19.05	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $32.36 / $66.07	Professional	TC	$23.99	$32.36	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $91.20	Professional		$39.81	$53.70	$91.20
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $17.78 / $29.51	Professional	26	$12.59	$17.78	$29.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $33.88 / $57.54	Professional	TC	$25.70	$33.88	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $44.67	Professional		$23.44	$32.36	$44.67
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 $61.66 / $75.86 / $89.13	Professional		$61.66	$75.86	$89.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $25.70 / $30.90	Professional	26	$19.05	$25.70	$30.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $50.12 / $58.88	Professional	TC	$42.66	$50.12	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $85.11	Professional		$39.81	$67.61	$85.11
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.88 / $21.88 / $30.90	Professional	26	$12.88	$21.88	$30.90
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $45.71 / $53.70	Professional	TC	$26.92	$45.71	$53.70
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $45.71 / $81.28	Professional		$19.50	$45.71	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $72.44	Professional		$38.02	$43.65	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.14 / $23.99	Professional	26	$12.59	$15.14	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $28.18 / $47.86	Professional	TC	$25.70	$28.18	$47.86