Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $154.88 / $436.52	Professional		$104.71	$154.88	$436.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.12 / $39.81 / $97.72	Professional	26	$25.12	$39.81	$97.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $89.13 / $117.49 / $223.87	Professional	TC	$89.13	$117.49	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $275.42	Professional		$131.83	$194.98	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $50.12 / $74.13	Professional	26	$34.67	$50.12	$74.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $144.54 / $208.93	Professional	TC	$100.00	$144.54	$208.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $323.59	Professional		$208.93	$269.15	$323.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $67.61 / $83.18	Professional	26	$50.12	$67.61	$83.18
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $204.17 / $239.88	Professional	TC	$158.49	$204.17	$239.88
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $331.13	Professional		$134.90	$223.87	$331.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $56.23 / $85.11	Professional	26	$33.88	$56.23	$85.11
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $102.33 / $165.96 / $245.47	Professional	TC	$102.33	$165.96	$245.47
U of Utah Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $162.18 / $245.47	Professional		$51.29	$162.18	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $263.03	Professional		$144.54	$158.49	$263.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $38.90 / $64.57	Professional	26	$35.48	$38.90	$64.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $107.15 / $120.23 / $199.53	Professional	TC	$107.15	$120.23	$199.53