Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $295.12 / $549.54	Facility		$48.98	$295.12	$549.54
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $47.86 / $95.50	Facility	26	$8.91	$47.86	$95.50
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $204.17 / $371.54 / $776.25	Facility	TC	$204.17	$371.54	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $41.69 / $120.23	Professional		$8.32	$41.69	$120.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $14.79 / $41.69	Professional	26	$7.08	$14.79	$41.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $33.11 / $83.18 / $173.78	Professional	50	$33.11	$83.18	$173.78
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.80 / $3.80 / $3.80	Professional	52	$3.80	$3.80	$3.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $39.81 / $107.15	Professional	TC	$21.88	$39.81	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $112.20 / $354.81	Facility		$35.48	$112.20	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $72.44	Professional		$30.90	$41.69	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.22 / $17.38	Professional	26	$7.76	$11.22	$17.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $52.48	Professional	TC	$21.38	$29.51	$52.48
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 $47.86 / $60.26 / $69.18	Professional		$47.86	$60.26	$69.18
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.79 / $19.50	Professional	26	$11.22	$14.79	$19.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $43.65 / $50.12	Professional	TC	$37.15	$43.65	$50.12
Select Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $52.48 / $72.44	Professional		$31.62	$52.48	$72.44
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $12.59 / $19.05	Professional	26	$7.76	$12.59	$19.05
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $39.81 / $46.77	Professional	TC	$23.99	$39.81	$46.77
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $38.90 / $66.07	Professional		$11.48	$38.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $54.95	Professional		$28.84	$32.36	$54.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $8.71 / $14.45	Professional	26	$7.76	$8.71	$14.45
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $24.55 / $40.74	Professional	TC	$20.89	$24.55	$40.74