Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $524.81	Facility		$100.00	$239.88	$524.81
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $44.67 / $44.67	Facility	26	$10.00	$44.67	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $186.21 / $371.54 / $912.01	Facility	TC	$186.21	$371.54	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $120.23	Professional		$23.99	$37.15	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.48 / $33.11	Professional	26	$7.08	$11.48	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $22.91 / $56.23	Professional	TC	$15.85	$22.91	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $138.04 / $436.52	Facility		$26.92	$138.04	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $61.66	Professional		$26.30	$38.02	$61.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.75 / $18.20	Professional	26	$8.13	$11.75	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.60 / $23.99 / $40.74	Professional	TC	$16.60	$23.99	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $60.26	Professional		$14.79	$33.11	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $389.05 / $549.54	Facility		$199.53	$389.05	$549.54
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 Facility Modifier TC Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	TC	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $64.57	Professional		$38.90	$51.29	$64.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.49 / $21.38	Professional	26	$11.75	$15.49	$21.38
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $35.48 / $42.66	Professional	TC	$27.54	$35.48	$42.66
Select Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $56.23	Professional		$25.70	$42.66	$56.23
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $19.95	Professional	26	$7.94	$13.18	$19.95
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $38.02	Professional	TC	$17.78	$29.51	$38.02
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $29.51 / $54.95	Professional		$12.02	$29.51	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $47.86	Professional		$24.55	$28.84	$47.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $9.12 / $15.14	Professional	26	$7.41	$9.12	$15.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $19.95 / $33.11	Professional	TC	$16.98	$19.95	$33.11