Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $66.07 / $66.07	Facility	26	$12.88	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $147.91	Professional		$30.20	$42.66	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.13 / $30.90	Professional	26	$7.94	$14.13	$30.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $26.92 / $48.98	Professional	TC	$19.95	$26.92	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $45.71 / $72.44	Professional		$35.48	$45.71	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $14.45 / $21.88	Professional	26	$10.00	$14.45	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $29.51 / $50.12	Professional	TC	$22.91	$29.51	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.11 / $60.26	Professional		$18.62	$33.11	$60.26
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 Professional Modifier Low / Median / High Price $48.98 / $63.10 / $79.43	Professional		$48.98	$63.10	$79.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $18.62 / $26.92	Professional	26	$14.13	$18.62	$26.92
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $42.66 / $52.48	Professional	TC	$34.67	$42.66	$52.48
Select Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $69.18	Professional		$32.36	$53.70	$69.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.85 / $23.99	Professional	26	$9.55	$15.85	$23.99
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $37.15 / $44.67	Professional	TC	$22.91	$37.15	$44.67
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $38.02 / $67.61	Professional		$14.45	$38.02	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $35.48 / $61.66	Professional		$30.90	$35.48	$61.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $11.22 / $18.62	Professional	26	$10.00	$11.22	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $23.99 / $42.66	Professional	TC	$20.89	$23.99	$42.66