Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $57.54 / $288.40	Professional		$21.88	$57.54	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.96 / $48.98	Professional	26	$8.91	$10.96	$48.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $26.92 / $109.65	Professional	TC	$12.02	$26.92	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $134.90	Professional		$23.99	$43.65	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.18 / $20.42	Professional	26	$9.12	$13.18	$20.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $13.80 / $27.54 / $120.23	Professional	TC	$13.80	$27.54	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $41.69	Professional		$20.89	$32.36	$41.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $63.10	Professional		$33.88	$42.66	$63.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $17.38 / $28.18	Professional	26	$13.18	$17.38	$28.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.70 / $39.81	Professional	TC	$20.42	$25.70	$39.81
Select Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $48.98	Professional		$23.99	$39.81	$48.98
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $14.79 / $21.88	Professional	26	$9.12	$14.79	$21.88
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $14.45 / $24.55 / $27.54	Professional	TC	$14.45	$24.55	$27.54
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $47.86	Professional		$13.49	$25.70	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $114.82	Professional		$19.95	$30.20	$114.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $8.71 / $16.98	Professional	26	$8.32	$8.71	$16.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.22 / $18.62 / $93.33	Professional	TC	$11.22	$18.62	$93.33