Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $48.98 / $575.44	Facility		$10.00	$48.98	$575.44
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $10.00 / $10.00	Facility	26	$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.18 / $36.31	Professional		$9.77	$13.18	$36.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $8.32 / $45.71	Professional	26	$6.03	$8.32	$45.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.48 / $11.48 / $12.30	Professional	50	$11.48	$11.48	$12.30
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $2.00 / $3.89 / $6.31	Professional	TC	$2.00	$3.89	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $31.62 / $100.00	Facility		$5.01	$31.62	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $24.55	Professional		$12.02	$16.98	$24.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $11.75 / $16.98	Professional	26	$8.13	$11.75	$16.98
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $3.09 / $5.50 / $8.51	Professional	TC	$3.09	$5.50	$8.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $33.11	Professional		$22.39	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $77.62 / $114.82	Facility		$44.67	$77.62	$114.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $44.67 / $44.67	Facility	26	$44.67	$44.67	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $31.62	Professional		$15.85	$23.99	$31.62
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $10.72 / $15.85 / $20.89	Professional	26	$10.72	$15.85	$20.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $5.13 / $8.13 / $10.72	Professional	TC	$5.13	$8.13	$10.72
Select Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $26.30	Professional		$10.96	$17.78	$26.30
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $12.02 / $17.78	Professional	26	$7.41	$12.02	$17.78
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $3.72 / $5.50 / $8.13	Professional	TC	$3.72	$5.50	$8.13
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $12.30 / $20.42	Professional		$5.13	$12.30	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.88 / $20.42	Professional		$11.22	$12.88	$20.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.12 / $13.80	Professional	26	$7.76	$9.12	$13.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.63 / $4.17 / $6.61	Professional	TC	$3.63	$4.17	$6.61