Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $138.04	Professional		$46.77	$66.07	$138.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $32.36	Professional	26	$10.96	$15.85	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $45.71 / $89.13	Professional	TC	$33.88	$45.71	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $117.49	Professional		$53.70	$70.79	$117.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $19.05 / $28.84	Professional	26	$13.18	$19.05	$28.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $48.98 / $87.10	Professional	TC	$37.15	$48.98	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $85.11	Professional		$27.54	$33.11	$85.11
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 $85.11 / $100.00 / $112.20	Professional		$85.11	$100.00	$112.20
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $33.11	Professional	26	$18.20	$23.99	$33.11
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $75.86 / $87.10	Professional	TC	$66.07	$75.86	$87.10
Select Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $109.65	Professional		$57.54	$93.33	$109.65
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $21.38 / $28.18	Professional	26	$12.59	$21.38	$28.18
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $70.79 / $81.28	Professional	TC	$45.71	$70.79	$81.28
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $74.13 / $109.65	Professional		$19.50	$74.13	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $93.33	Professional		$48.98	$54.95	$93.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $14.45 / $23.44	Professional	26	$13.18	$14.45	$23.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $42.66 / $70.79	Professional	TC	$35.48	$42.66	$70.79