Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $263.03	Professional		$87.10	$131.83	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $30.20 / $93.33	Professional	26	$21.88	$30.20	$93.33
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $107.15 / $208.93	Professional	TC	$69.18	$107.15	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $251.19	Professional		$104.71	$147.91	$251.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $36.31 / $57.54	Professional	26	$25.12	$36.31	$57.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $112.20 / $190.55	Professional	TC	$74.13	$112.20	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $676.08 / $676.08 / $676.08	Facility	26	$676.08	$676.08	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $251.19	Professional		$186.21	$218.78	$251.19
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $63.10	Professional	26	$37.15	$50.12	$63.10
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $165.96 / $199.53	Professional	TC	$147.91	$165.96	$199.53
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $257.04	Professional		$125.89	$199.53	$257.04
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $42.66 / $58.88	Professional	26	$25.70	$42.66	$58.88
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $154.88 / $177.83	Professional	TC	$100.00	$154.88	$177.83
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $151.36 / $251.19	Professional		$38.02	$151.36	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $117.49 / $204.17	Professional		$102.33	$117.49	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $28.18 / $46.77	Professional	26	$25.12	$28.18	$46.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $74.13 / $93.33 / $154.88	Professional	TC	$74.13	$93.33	$154.88