Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.20 / $30.20 / $30.20	Facility	26	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $114.82 / $501.19	Professional		$69.18	$114.82	$501.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.02 / $85.11	Professional	26	$25.70	$38.02	$85.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $47.86 / $85.11 / $316.23	Professional	TC	$47.86	$85.11	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $223.87	Professional		$91.20	$112.20	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $33.88 / $72.44	Professional	26	$22.91	$33.88	$72.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $79.43 / $158.49	Professional	TC	$61.66	$79.43	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
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 Professional Modifier Low / Median / High Price $144.54 / $190.55 / $229.09	Professional		$144.54	$190.55	$229.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $63.10	Professional	26	$38.90	$51.29	$63.10
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $104.71 / $134.90 / $162.18	Professional	TC	$104.71	$134.90	$162.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $199.53	Professional		$95.50	$151.36	$199.53
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $56.23 / $66.07	Professional	26	$26.30	$56.23	$66.07
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $69.18 / $93.33 / $123.03	Professional	TC	$69.18	$93.33	$123.03
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $114.82 / $199.53	Professional		$38.90	$114.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $181.97	Professional		$81.28	$91.20	$181.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $25.12 / $48.98	Professional	26	$22.91	$25.12	$48.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $56.23 / $66.07 / $134.90	Professional	TC	$56.23	$66.07	$134.90