Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $87.10 / $87.10	Facility	26	$16.98	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $208.93	Professional		$47.86	$74.13	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $21.38 / $52.48	Professional	26	$11.75	$21.38	$52.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $46.77 / $89.13	Professional	TC	$33.11	$46.77	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $66.07 / $107.15	Professional		$48.98	$66.07	$107.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.50 / $28.84	Professional	26	$13.18	$19.50	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $44.67 / $81.28	Professional	TC	$34.67	$44.67	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $89.13	Professional		$26.92	$33.11	$89.13
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 $72.44 / $93.33 / $109.65	Professional		$72.44	$93.33	$109.65
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $22.91 / $36.31	Professional	26	$17.38	$22.91	$36.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $66.07 / $74.13	Professional	TC	$56.23	$66.07	$74.13
Select Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $104.71	Professional		$48.98	$79.43	$104.71
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $19.95 / $30.20	Professional	26	$12.02	$19.95	$30.20
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $58.88 / $69.18	Professional	TC	$37.15	$58.88	$69.18
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $57.54 / $100.00	Professional		$18.20	$57.54	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $89.13	Professional		$46.77	$50.12	$89.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $15.14 / $22.39	Professional	26	$12.59	$15.14	$22.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $35.48 / $61.66	Professional	TC	$33.11	$35.48	$61.66