Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $48.98 / $48.98	Facility	26	$10.00	$48.98	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $53.70 / $169.82	Professional		$31.62	$53.70	$169.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $15.85 / $34.67	Professional	26	$8.51	$15.85	$34.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $30.20 / $70.79	Professional	TC	$22.91	$30.20	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $79.43	Professional		$33.88	$45.71	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $12.88 / $22.91	Professional	26	$9.55	$12.88	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $32.36 / $54.95	Professional	TC	$23.44	$32.36	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $42.66	Professional		$16.22	$32.36	$42.66
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 $54.95 / $67.61 / $77.62	Professional		$54.95	$67.61	$77.62
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $18.62 / $21.88	Professional	26	$15.14	$18.62	$21.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.81 / $47.86 / $54.95	Professional	TC	$39.81	$47.86	$54.95
Select Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $74.13	Professional		$36.31	$60.26	$74.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.98 / $23.99	Professional	26	$10.00	$16.98	$23.99
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.70 / $43.65 / $51.29	Professional	TC	$25.70	$43.65	$51.29
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $40.74 / $74.13	Professional		$15.14	$40.74	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $36.31 / $64.57	Professional		$33.11	$36.31	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $11.22 / $18.62	Professional	26	$9.12	$11.22	$18.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $26.92 / $44.67	Professional	TC	$23.44	$26.92	$44.67