Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $81.28 / $81.28	Facility	26	$18.20	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $251.19	Professional		$56.23	$89.13	$251.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $20.89 / $53.70	Professional	26	$12.02	$20.89	$53.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $42.66 / $57.54 / $112.20	Professional	TC	$42.66	$57.54	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $83.18 / $141.25	Professional		$61.66	$83.18	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $21.38 / $33.11	Professional	26	$14.79	$21.38	$33.11
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $61.66 / $104.71	Professional	TC	$46.77	$61.66	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
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 $97.72 / $120.23 / $134.90	Professional		$97.72	$120.23	$134.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $28.18 / $37.15	Professional	26	$20.89	$28.18	$37.15
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $77.62 / $91.20 / $104.71	Professional	TC	$77.62	$91.20	$104.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $131.83	Professional		$66.07	$107.15	$131.83
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $23.99 / $33.11	Professional	26	$14.45	$23.99	$33.11
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $52.48 / $83.18 / $100.00	Professional	TC	$52.48	$83.18	$100.00
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $81.28 / $128.82	Professional		$21.88	$81.28	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $66.07 / $112.20	Professional		$58.88	$66.07	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $16.60 / $27.54	Professional	26	$14.79	$16.60	$27.54
United Facility/Professional Professional Modifier TC Low / Median / High Price $43.65 / $52.48 / $85.11	Professional	TC	$43.65	$52.48	$85.11