Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $269.15 / $467.74	Facility		$48.98	$269.15	$467.74
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $44.67	Facility	26	$8.91	$8.91	$44.67
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $181.97 / $302.00 / $630.96	Facility	TC	$181.97	$302.00	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $33.88 / $107.15	Professional		$10.96	$33.88	$107.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.45 / $37.15	Professional	26	$7.08	$14.45	$37.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $70.79 / $85.11 / $158.49	Professional	50	$70.79	$85.11	$158.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.78 / $29.51 / $75.86	Professional	TC	$17.78	$29.51	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $112.20 / $354.81	Facility		$32.36	$112.20	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $37.15 / $64.57	Professional		$26.92	$37.15	$64.57
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $16.98	Professional	26	$7.76	$11.22	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $46.77	Professional	TC	$18.20	$25.70	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.11 / $60.26	Professional		$14.45	$33.11	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $251.19 / $302.00	Facility		$147.91	$251.19	$302.00
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 $44.67 / $54.95 / $60.26	Professional		$44.67	$54.95	$60.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $14.13 / $19.95	Professional	26	$10.72	$14.13	$19.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $39.81 / $45.71	Professional	TC	$33.88	$39.81	$45.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $66.07	Professional		$28.84	$48.98	$66.07
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.30 / $18.20	Professional	26	$7.41	$12.30	$18.20
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $36.31 / $43.65	Professional	TC	$21.88	$36.31	$43.65
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $35.48 / $61.66	Professional		$10.96	$35.48	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $51.29	Professional		$26.92	$29.51	$51.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $8.51 / $13.80	Professional	26	$7.41	$8.51	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $22.91 / $38.02	Professional	TC	$18.62	$22.91	$38.02