Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.08 / $33.88 / $33.88	Facility	26	$7.08	$33.88	$33.88
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $173.78 / $288.40 / $575.44	Facility	TC	$173.78	$288.40	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $42.66 / $128.82	Professional		$11.75	$42.66	$128.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $11.48 / $30.20	Professional	26	$6.03	$11.48	$30.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.54 / $144.54 / $181.97	Professional	50	$144.54	$144.54	$181.97
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.30 / $60.26 / $158.49	Professional	52	$26.30	$60.26	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $40.74 / $74.13	Professional	TC	$22.39	$40.74	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $79.43	Professional		$29.51	$43.65	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $9.12 / $14.45	Professional	26	$6.46	$9.12	$14.45
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $58.88	Professional	TC	$21.88	$33.11	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.11 / $60.26	Professional		$12.02	$33.11	$60.26
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 $53.70 / $64.57 / $72.44	Professional		$53.70	$64.57	$72.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $12.30 / $16.22	Professional	26	$9.33	$12.30	$16.22
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $51.29 / $58.88	Professional	TC	$44.67	$51.29	$58.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $75.86	Professional		$36.31	$57.54	$75.86
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $6.31 / $10.47 / $15.85	Professional	26	$6.31	$10.47	$15.85
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $46.77 / $54.95	Professional	TC	$30.20	$46.77	$54.95
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $45.71 / $70.79	Professional		$9.55	$45.71	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $60.26	Professional		$26.92	$34.67	$60.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $7.24 / $12.02	Professional	26	$6.03	$7.24	$12.02
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $28.18 / $47.86	Professional	TC	$20.89	$28.18	$47.86