Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.88 / $57.54 / $95.50	Facility	26	$12.88	$57.54	$95.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $32.36 / $389.05 / $776.25	Facility	TC	$32.36	$389.05	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $54.95 / $165.96	Professional		$19.05	$54.95	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $20.89 / $51.29	Professional	26	$10.00	$20.89	$51.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.77 / $114.82 / $380.19	Professional	50	$46.77	$114.82	$380.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $50.12 / $107.15	Professional	TC	$28.18	$50.12	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $97.72	Professional		$39.81	$54.95	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $14.79 / $23.99	Professional	26	$10.47	$14.79	$23.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $38.90 / $67.61	Professional	TC	$27.54	$38.90	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $70.79	Professional		$19.05	$33.11	$70.79
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 Facility Modifier TC Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	TC	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $95.50	Professional		$66.07	$81.28	$95.50
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $19.95 / $27.54	Professional	26	$15.49	$19.95	$27.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $51.29 / $58.88 / $67.61	Professional	TC	$51.29	$58.88	$67.61
Select Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $95.50	Professional		$45.71	$72.44	$95.50
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.47 / $17.38 / $26.30	Professional	26	$10.47	$17.38	$26.30
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.48 / $54.95 / $63.10	Professional	TC	$35.48	$54.95	$63.10
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $53.70 / $91.20	Professional		$15.85	$53.70	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $74.13	Professional		$38.02	$44.67	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.23 / $11.48 / $19.50	Professional	26	$10.23	$11.48	$19.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $28.18 / $33.11 / $54.95	Professional	TC	$28.18	$33.11	$54.95