Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $269.15 / $426.58	Facility		$30.90	$269.15	$426.58
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $223.87 / $398.11 / $436.52	Facility	TC	$223.87	$398.11	$436.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $123.03	Professional		$26.92	$43.65	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $12.88 / $31.62	Professional	26	$7.08	$12.88	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $28.18 / $56.23	Professional	TC	$19.05	$28.18	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $112.20 / $354.81	Facility		$33.11	$112.20	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $39.81 / $69.18	Professional		$28.84	$39.81	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.48 / $18.20	Professional	26	$8.13	$11.48	$18.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $26.92 / $47.86	Professional	TC	$19.50	$26.92	$47.86
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 $147.91 / $251.19 / $302.00	Facility		$147.91	$251.19	$302.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Regence BlueShield Facility/Professional Facility Modifier TC Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	TC	$147.91	$147.91	$147.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $64.57	Professional		$45.71	$56.23	$64.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $15.49 / $19.95	Professional	26	$11.75	$15.49	$19.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $39.81 / $45.71	Professional	TC	$33.88	$39.81	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $50.12 / $66.07	Professional		$29.51	$50.12	$66.07
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 $21.88 / $37.15 / $43.65	Professional	TC	$21.88	$37.15	$43.65
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $38.02 / $63.10	Professional		$12.02	$38.02	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $52.48	Professional		$28.18	$30.90	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.12 / $14.79	Professional	26	$8.13	$9.12	$14.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.91 / $38.02	Professional	TC	$19.50	$22.91	$38.02