Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $117.49	Professional		$18.62	$28.84	$117.49
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $13.49 / $31.62	Professional	26	$7.08	$13.49	$31.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $19.95 / $39.81	Professional	TC	$12.02	$19.95	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $58.88	Professional		$27.54	$36.31	$58.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $12.02 / $19.05	Professional	26	$8.51	$12.02	$19.05
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.98 / $23.44 / $39.81	Professional	TC	$16.98	$23.44	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $60.26	Professional		$15.49	$33.11	$60.26
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 $33.88 / $43.65 / $69.18	Professional		$33.88	$43.65	$69.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.30 / $16.22 / $22.39	Professional	26	$12.30	$16.22	$22.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $28.18 / $46.77	Professional	TC	$21.38	$28.18	$46.77
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $54.95	Professional		$23.44	$37.15	$54.95
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.51 / $13.80 / $19.50	Professional	26	$8.51	$13.80	$19.50
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $23.44 / $35.48	Professional	TC	$14.45	$23.44	$35.48
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $46.77	Professional		$12.30	$25.12	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $46.77	Professional		$25.70	$28.84	$46.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $9.33 / $15.49	Professional	26	$8.13	$9.33	$15.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $20.42 / $30.90	Professional	TC	$17.78	$20.42	$30.90