Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	26	$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $269.15	Professional		$89.13	$123.03	$269.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $95.50	Professional	26	$22.91	$30.90	$95.50
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $70.79 / $100.00 / $213.80	Professional	TC	$70.79	$100.00	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $257.04	Professional		$95.50	$144.54	$257.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $37.15 / $61.66	Professional	26	$26.92	$37.15	$61.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $66.07 / $107.15 / $186.21	Professional	TC	$66.07	$107.15	$186.21
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 $181.97 / $213.80 / $331.13	Professional		$181.97	$213.80	$331.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $52.48 / $83.18	Professional	26	$38.90	$52.48	$83.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $165.96 / $245.47	Professional	TC	$141.25	$165.96	$245.47
Select Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $251.19	Professional		$123.03	$190.55	$251.19
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $43.65 / $61.66	Professional	26	$26.92	$43.65	$61.66
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $147.91 / $181.97	Professional	TC	$95.50	$147.91	$181.97
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $144.54 / $239.88	Professional		$39.81	$144.54	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $208.93	Professional		$100.00	$120.23	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.20 / $50.12	Professional	26	$26.30	$30.20	$50.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $91.20 / $158.49	Professional	TC	$72.44	$91.20	$158.49