Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $162.18	Professional		$34.67	$46.77	$162.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $17.38 / $31.62	Professional	26	$10.96	$17.38	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $66.07	Professional	TC	$23.44	$32.36	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $87.10	Professional		$40.74	$51.29	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $17.78 / $26.92	Professional	26	$12.30	$17.78	$26.92
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 $22.91 / $33.11 / $60.26	Professional		$22.91	$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 $60.26 / $74.13 / $85.11	Professional		$60.26	$74.13	$85.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.91 / $30.90	Professional	26	$17.38	$22.91	$30.90
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $50.12 / $57.54	Professional	TC	$42.66	$50.12	$57.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $81.28	Professional		$40.74	$66.07	$81.28
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.50 / $27.54	Professional	26	$12.02	$19.50	$27.54
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $45.71 / $53.70	Professional	TC	$28.84	$45.71	$53.70
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $47.86 / $79.43	Professional		$18.20	$47.86	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $69.18	Professional		$37.15	$41.69	$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 / $28.18 / $46.77	Professional	TC	$23.99	$28.18	$46.77