Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $12.88 / $12.88	Facility	26	$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $208.93	Professional		$33.11	$53.70	$208.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $40.74	Professional	26	$8.91	$13.80	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $67.61	Professional	TC	$21.88	$36.31	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $87.10	Professional		$43.65	$56.23	$87.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $23.44	Professional	26	$10.47	$14.79	$23.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $41.69 / $61.66	Professional	TC	$30.20	$41.69	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.11 / $72.44	Professional		$21.38	$33.11	$72.44
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 $57.54 / $75.86 / $89.13	Professional		$57.54	$75.86	$89.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $19.95 / $27.54	Professional	26	$15.14	$19.95	$27.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $53.70 / $61.66	Professional	TC	$41.69	$53.70	$61.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $87.10	Professional		$38.90	$61.66	$87.10
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $16.98 / $23.44	Professional	26	$10.23	$16.98	$23.44
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $45.71 / $63.10	Professional	TC	$28.84	$45.71	$63.10
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $46.77 / $79.43	Professional		$15.14	$46.77	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $72.44	Professional		$38.02	$43.65	$72.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.48 / $19.05	Professional	26	$10.23	$11.48	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $31.62 / $53.70	Professional	TC	$26.92	$31.62	$53.70