Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $229.09	Professional		$70.79	$104.71	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $25.12 / $45.71	Professional	26	$16.98	$25.12	$45.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $75.86 / $154.88	Professional	TC	$51.29	$75.86	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $194.98	Professional		$83.18	$112.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $26.92 / $41.69	Professional	26	$18.62	$26.92	$41.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $83.18 / $147.91	Professional	TC	$60.26	$83.18	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
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 $138.04 / $165.96 / $186.21	Professional		$138.04	$165.96	$186.21
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $37.15 / $46.77	Professional	26	$28.18	$37.15	$46.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $112.20 / $125.89 / $151.36	Professional	TC	$112.20	$125.89	$151.36
Select Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $181.97	Professional		$91.20	$151.36	$181.97
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $31.62 / $42.66	Professional	26	$19.05	$31.62	$42.66
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $117.49 / $138.04	Professional	TC	$72.44	$117.49	$138.04
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $123.03 / $181.97	Professional		$28.84	$123.03	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $154.88	Professional		$77.62	$89.13	$154.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $21.38 / $35.48	Professional	26	$19.05	$21.38	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $57.54 / $72.44 / $120.23	Professional	TC	$57.54	$72.44	$120.23