Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $323.59 / $416.87	Facility		$37.15	$323.59	$416.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $66.07 / $66.07	Facility	26	$12.02	$66.07	$66.07
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $190.55 / $331.13 / $467.74	Facility	TC	$190.55	$331.13	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $141.25	Professional		$30.20	$44.67	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $19.50 / $43.65	Professional	26	$8.91	$19.50	$43.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $60.26	Professional	TC	$19.05	$30.90	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $138.04 / $436.52	Facility		$31.62	$138.04	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $69.18	Professional		$33.11	$44.67	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $14.45 / $22.39	Professional	26	$10.23	$14.45	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $47.86	Professional	TC	$21.38	$28.18	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $61.66	Professional		$19.05	$33.11	$61.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $549.54	Facility		$199.53	$389.05	$549.54
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 $46.77 / $60.26 / $74.13	Professional		$46.77	$60.26	$74.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.49 / $18.20 / $25.70	Professional	26	$13.49	$18.20	$25.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $39.81 / $47.86	Professional	TC	$33.11	$39.81	$47.86
Select Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $66.07	Professional		$30.90	$50.12	$66.07
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $15.49 / $22.91	Professional	26	$9.33	$15.49	$22.91
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $35.48 / $41.69	Professional	TC	$21.38	$35.48	$41.69
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $36.31 / $64.57	Professional		$13.80	$36.31	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $34.67 / $58.88	Professional		$30.20	$34.67	$58.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.96 / $17.38	Professional	26	$9.33	$10.96	$17.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $22.91 / $38.90	Professional	TC	$20.42	$22.91	$38.90