Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $147.91	Professional		$23.99	$42.66	$147.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.18 / $37.15	Professional	26	$7.94	$13.18	$37.15
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.85 / $25.12 / $66.07	Professional	TC	$15.85	$25.12	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $43.65 / $69.18	Professional		$32.36	$43.65	$69.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $13.49 / $20.89	Professional	26	$9.55	$13.49	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $30.20 / $51.29	Professional	TC	$21.88	$30.20	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $64.57	Professional		$17.78	$33.11	$64.57
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 Professional Modifier Low / Median / High Price $40.74 / $52.48 / $85.11	Professional		$40.74	$52.48	$85.11
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $16.60 / $25.12	Professional	26	$12.59	$16.60	$25.12
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $36.31 / $60.26	Professional	TC	$28.18	$36.31	$60.26
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $63.10	Professional		$28.18	$44.67	$63.10
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $14.13 / $20.89	Professional	26	$8.91	$14.13	$20.89
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.20 / $41.69	Professional	TC	$19.05	$30.20	$41.69
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.62 / $56.23	Professional		$13.18	$31.62	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $35.48 / $52.48	Professional		$28.84	$35.48	$52.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $10.72 / $16.22	Professional	26	$8.71	$10.72	$16.22
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $25.12 / $36.31	Professional	TC	$20.89	$25.12	$36.31