Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $223.87	Professional		$72.44	$114.82	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $72.44 / $141.25	Professional	TC	$45.71	$72.44	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $229.09	Professional		$109.65	$158.49	$229.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $104.71 / $154.88	Professional	TC	$61.66	$104.71	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility	26	$1,288.25	$1,288.25	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $275.42	Professional		$154.88	$190.55	$275.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $114.82 / $177.83	Professional	TC	$97.72	$114.82	$177.83
Select Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $234.42	Professional		$104.71	$165.96	$234.42
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $64.57 / $102.33 / $144.54	Professional	TC	$64.57	$102.33	$144.54
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $109.65 / $204.17	Professional		$56.23	$109.65	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $208.93	Professional		$93.33	$128.82	$208.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $87.10 / $128.82	Professional	TC	$56.23	$87.10	$128.82